Figure 3

14 year old boy with circumscribed deep morphea of the infraorbital region for 2 years. His lesion has shown deeper pigmentation changes and recent increased tissue loss. There is marked thinning of the hypodermis layer. The echogenicity of the hypodermis is markedly increased, and greater than the echogenicity of the normal dermis (hypodermis echogenicity = 3). The echogenicity of the lesion dermis is also increased (dermis echogenicity = 1). D = dermis, H = hypodermis. Arrowheads indicate boundaries of dermis, while arrows indicate boundaries of hypodermis.