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Ossification in linear morphoea with hemifacial atrophy treatment by surgical excision

An 18‐year‐old male was first seen in 1976 with several calcified nodules on his forehead, to the right of the midline. Histology of one of the nodules showed true ossification to be present in the skin. The affected area increased in size over a period of several years and when the patient was seen again at the age of 26 years he was noted to have evidence of right facial hemiatrophy and a large linear plaque of hair loss and ossification which spread from the right side of the forehead to the right side of the vertex of the scalp. There was clinical evidence of morphoea in the skin below the ossified area on the forehead. The plaque was thought to represent ossification in an area of linear morphoea and was successfully excised using the technique of tissue expansion.