DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20164074

Atrophic wrinkled plaque on face: a diagnostic dilemma

Savera Gupta, Manjaree Morgaonkar, Suresh Kumar Jain, Rajeev Saxena

Abstract


We report an interesting case of an eight year old boy presenting with a depressed atrophic wrinkled plaque on cheek for last three years. The clinical finding of wrinkling and soft and pulpy consistency of lesion raised the possibility of elastolytic disorder but was ruled on the basis of normal elastic tissue on Verhoff stain. The histopathological findings were consistent with atrophoderma, but the lesion lacked the classical clinical features, thereby posing a diagnostic dilemma.


Keywords


Atrophoderma, Variant, Face, Wrinkle, Elastolysis

Full Text:

PDF

References


Musgnug RH. Atrophoderma of Pasini and Pierini. In: Clinical Dermatology (Demis DJ ed). 16th revision. Philadelphia: J.B. Lippincot; 1989: 4-20.

Beuchner SA, Rufli T. Atrophoderma of Pasini and Pierini. J Am Acad Dermatol. 1994;30:441–6.

Kencka D, Blaszczyk M, Jablonska S. Atrophoderma Pasini-Pierini is a primary atrophic abortive morphea. Dermatology. 1995;190:203–6.

Patroi I, Annessi G, Girolomoni G. Mid-dermal elastolysis: a clinical, histologic, and immune-histochemical study of 11 patients. J Am Acad Dermatol. 2003;48(6):846-51.

Bannister MJ, Rubel DM, Kossard S. Mid-dermal elastophagocytosis presenting as a persistent reticulate erythema. Australas J Dermatol. 2001;42:50–4.

Kee C E, Brothers W S, New W. Idiopathic Atrophoderma of Pasini and Pierini with Coexistent Morphea: A Case Report. Arch Dermatol. 1960;82(1):100-3.

Carrington P R, Altick J A, Sanusi I D. Atrophoderma elastolytica discrete. Am J Dermatopathol. 1996;18(2):212-7.

Miteva L, Kadurina M. Unilateral idiopathic atrophoderma of Pasini and Pierini. Int J Dermatol. 2006;45:1391-3.

Wakelin SH, James MP. Zosteriform atrophoderma of Pasini and Pierini. Clin Exp Dermatol. 1995;20:244-6.

Saleh Z, Abbas O, Dahdah MJ, Kibbi AG, Zaynoun S, Ghosn S. Atrophoderma of Pasini and Pierini: A clinical and histopathological study. J Cutan Pathol. 2008;35:1108-14.