Coal forms from the accumulation of plant debris, usually in a swamp environment. When plant debris dies and falls into the swamp the standing water of the swamp protects it from decay. Swamp waters are usually deficient in oxygen, which would react with the plant debris and cause it to decay.
Porokeratosis is generally considered to be a benign condition though malignant transformation has been seen in all but the punctate variety, necessitating regular followup of patients with porokeratosis (Maubec et al., 2005; Sasson & Krain, 1996).
Morphea is usually asymptomatic, and the development of lesions is typically insidious. Extracutaneous involvement is present in 20% of patients.Extracutaneous manifestations are more common in the linear and generalized subtypes. Malaise, fatigue, myalgias, and arthralgias are common extracutaneous symptoms.