Dent in forehead the size of my index finger for no reason in Sclero Forums (MAIN) Posted March 15, 2016 Hi Gillesley, Welcome to Sclero Forums. Many scleroderma antibodies are positive in morphea, and the National Organization of Rare Diseases lists alternate names for lichen planus such as guttate morphea and guttate scleroderma. So, perhaps your antibodies go along with the lichen planus? The way to check it out would be to see a scleroderma expert. In any event, it's important to know that localized forms of scleroderma can occur with many antibodies, and those types are distinctly different from systemic scleroderma. So there is a projected normal life span with morphea, guttate, linear, en coup forms, etc. and they do not automatically progress to systemic, either, in fact, it is very rare for anyone to have both limited and systemic. Our in-house exception to that rule is Amanda, of course, who has both. It's possible your illness might be as bad as it's ever going to get. It's also possible that you might be developing another lesion of some sort on your forehead. But I agree with your dermatologist, as I'd never want to have my forehead biopsied, unless it looked like cancer or there was no other choice, because it might leave a scar or make it more visible or prominent.