Localised scleroderma is also known as morphoea. The word ‘scleroderma’ means ‘hard skin’. Morphoea plaques are limited to the skin alone and there is no spread internally - in this way the condition is di!erent from systemic sclerosis. The skin changes of morphoea may last for many years before they resolve. Unfortunately, morphoea cannot be cured but in most people it is not a serious condition. It may progress for several years on and o! but then tends to get better by itself, and in some cases the skin may return to normal. The cause of morphoea is at present not known, but its hardness is due to an excessive build up of collagen, a protein found within the skin, which contributes to its strength.