Slim belt induced morphea-Price paid for a slimmer look

Morphea, also known as localized scleroderma, encompasses a group of distinct conditions characterized by sclerosis of the skin and the underlying tissues. Many triggering factors have been implicated in the development of morphea like trauma, immobilization, bacille Calmette–Guerin (BCG) vaccination, injections of vitamin K, mechanical compression from clothing, etc. but slim belt as a cause of morphea has not been previously reported to the best of our knowledge. We report a 28 year old married obese woman who developed a shiny brownish indurated plaque over the abdomen after three months of use of a slim belt for her obesity. Skin biopsy was consistent with the diagnosis of morphea. She was prescribed topical tacrolimus 0.1% ointment and improved with course of time.The present case illustrates the first description of morphea as a result of use of slim belt which has not been previously reported in the literature.