A wide variety of pathogenically unrelated skin diseases may follow a zosteriform distribution pattern. Zosteriform morphea is a rare and recently described pattern of presentation of this localized sclerosis of the skin. We report the case of a 26-year old woman with morphea presenting with a zosteriform pattern without a preceding herpes zoster infection. She was treated with topical PUVA for a total of 10 sessions of treatment and a total UVA dose of 16 J/cm2. Marked softening of the sclerotic plaques was seen. This is the first report of its successfully and safe use in the rare zosteriform presentation.
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