Pediatrics

A 2026 practical review of morphea (localized scleroderma) across age groups — an organ-sparing autoimmune skin disease distinct from systemic sclerosis. Covers classification, the high-stakes subtypes (pansclerotic, facial linear), activity-vs-damage assessment, and management anchored on long-course methotrexate plus a steroid bridge, where depth and site dictate aggressiveness.

Work through a previously healthy 7-year-old girl with six weeks of progressive bilateral leg pain and a limp — one finding at a time. Twelve multiple-choice checkpoints test how you reshape a broad differential as imaging, labs and, crucially, a dietary history land on a diagnosis that is easy to miss.