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The coexistence of morphea and LSA continues to be controversial, as some authors consider LSA to be a variant of morphea, with more superficial involvement, while others consider the diseases to be sufficiently different, both clinically and histopathologically, to be considered distinct diseases.810 A number of treatments have been attempted, including high-potency topical corticosteroids, systemic corticosteroids, methotrexate, and psoralenUV-A PUVA, all with little efficacy

However, in cases of uncertainty or confusion about the symptoms, diagnostic tests that are usually considered by the physicians include X-ray or endoscopy to check the stomach and esophagus

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