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The treatment modalities for morphea include phototherapy, topical tacrolimus, calcipotriol in combination with betamethasone dipropionate, Imiquimod, methotrexate in combination with systemic steroids, cyclosporine, D-penicillamine, mycophenolate mofetil, photophoresis, etc.15 Our case was managed with topical tacrolimus 0.1% ointment and emollients and with oral sodium levothyroxine 25 g/day.
Some evidence demon states that photophoresis may diminish the frequency of rejection in cardiac and renal transplant recipients (Dall'amico et al, 1998).
And as a last resort, for the most difficult cases, he uses omalizumab or photophoresis, he said.