Morphea: a practical review of its diagnosis, classification and treatment

Morphea, or localized scleroderma, is a rare disease of the connective tissue that manifests itself with localized sclerosis of the skin and, in some cases, with extracutaneous manifestations. Its etiology is not fully understood, but it is believed that there is genetic predisposition, in addition to environmental triggering factors. Classification of the disease is not simple due to its multiple presentations; however, it is useful in order to define the treatment, which should be individualized and started early to avoid cosmetic and functional complications. In this review, we summarize the most important practical aspects of the classification, diagnostic methods and evaluation of morphea activity, as well as available therapeutic options, with an emphasis on existing clinical evidence regarding their efficacy and safety.

Definición y desarrollo del concepto de ocupación: ensayo sobre la experiencia de construcción teórica desde una identidad local / Concept of occupation: definition and development: essay about an experience of theoretical construction from a local ident

En el proceso de construcción teórica, al que se ha dedicado el Comité de Ciencia de la Ocupación, se ha hecho necesaria una aproximación a conceptos, ya definidos por la Ciencia Ocupacional con una visión que provea identidad al grupo de investigadores, por sobre los elementos de universalidad que se han usado previamente. Si bien todo proceso de generación de conocimiento debe considerar la investigación, este comité comenzó su trabajo de desarrollo teórico a través de una construcción colectiva, basada en lectura y análisis profundo. El presente ensayo refleja ese proceso colectivo.

In the process of theoretical construction, on which the Committee of Occupational Science (of the School of Occupational Therapy of University of Chile) has been devoted, it was needed an approach to concepts, already defined by Occupational Science, from a view that provides identity to this recent group of study and research. Even though generation of knowledge requires research, this committee began its work of theoretical development through a collective construction; reading and discussion based. The present essay reflects that collective process, and the authors took the task of giving to it the written form.