We report a case of unusual occurrence of neuromyotonia and morphoea (localised scleroderma) simultaneously in the same limbs. The patient was a 32-year-old man who presented with a 2-year history of twitching muscles in the right limbs with loss of hair and tightness of skin in the same limbs. Examination showed an almost complete loss of hair on the right arm, forearm and hand (fig 1). He also had hair loss on the right lower limb, especially on the back of the thigh and calf (fig 2). The skin in these …