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Familial Atrophia Maculosa Varioliformis Cutis-Case Report
Chung-Chu Wang , Pei-Lun Sun , Yu-Hung Wu, Yang-Chih Lin
Dermatol Sinica 22 : 178-182, 2004

Atrophia maculosa varioliformis cutis was first described by Heidingsfeld in 1918 as the gradual, spontaneous appearance of painless, shallow, sharply demarcated depressions of various shapes on the face. To the best of our knowledge, only 17 additional cases have been reported since the first description. We describe the first two patients in Taiwan. They are a sister and brother, aged 10 and 8 years, with multiple, spontaneous, randomly scattered, asymptomatic, atrophic lesions on the cheeks and chin. They had no history of varicella or acne. Histopathologic examination of an incisional biopsy specimen showed an unremarkable epidermis. In the upper dermis, there were a few compact collagen bundles and decreased elastic fibers. It is essential to differentiate this entity from scarring, artifact dermatitis, or atrophoderma vermiculata. We have suggested that the family consider dermabrasion for the disorder once the children reach adulthood.

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