Back issues No.4 - 2000 / Case Report  

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Atrophoderma of Pasini and Pierini-A Variant of Morphea -Report of A Case and Review of the Literature-
Chia-Yu Chu, Guang-Hsiang Hsiao, Cheng-Hsiang Hsiao
Dermatol Sinica 18: 273-279, 2000

Atrophoderma of Pasini and Pierini (APP) is a rare but clinically distinct skin disease characterized by sharply demarcated, slightly depressed patches with a slate-gray or brown color. The lesions are usually asymptomatic, bilateral and symmetrical. We report a 15-year-old girl who had a 3-year history of unilateral band-form, brownish, slightly depressed patches over the left arm and back. A skin biopsy from the left flank lesion including clinically normal skin and a depressed area was performed. The histopathologic study revealed thickening of the collagen fibers with homogenization in focal areas of reticular dermis at the lesion site, which is consistent with APP.

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