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Morphea and Its Variants and the “Floating Sign”—An Additional Finding in Morphea

Perez-Chua, Tanya Angela MD*; Kisel, Yelena G. NP; Chang, Kyung Hee MD; Bhawan, Jag MD*

The American Journal of Dermatopathology: June 2014 - Volume 36 - Issue 6 - p 500–505
doi: 10.1097/DAD.0b013e3182924f0a
Review Article

Abstract: We report 2 patients with typical clinical findings of circumscribed morphea who on histopathologic examinations had histiocytes (“floating sign”) surrounding individual collagen fibers in the dermis in addition to the key histologic findings of morphea. To our knowledge, there are no previous reports in the medical literature of such a phenomenon. Histopathological findings in idiopathic morphea and morphea-like conditions are reviewed.

*Department of Dermatology, Dermatopathology Section, Boston University School of Medicine, Boston;

Chelmsford Dermatology; and

Signature Healthcare, MA.

Reprints: Jag Bhawan, MD, Head, Department of Dermatology, Vice Chairman, Dermatopathology Section, Boston University School of Medicine, 609 Albany St, J-309 Boston 02118, MA (e-mail:

The authors declare no conflicts of interest.

© 2014 by Lippincott Williams & Wilkins.