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: firstname.lastname@example.org).
The authors declare no conflicts of interest.