Atrophoderma of pasini and pierini on the head and trunk of a 32 year-old male: A case report

@#Atrophoderma of Pasini and Pierini (APP) is an idiopathic disorder of dermal atrophy, presenting as round or oval depressed lesions most commonly observed on the trunk and extremities. Herein, we report the first case of APP initially appearing on the head. Histopathologic examination of lesional skin demonstrated a decrease in elastic fibers. Serologic tests for Borrelia and antinuclear antibody titers were negative. There was no noted improvement after 6 weeks tretament with Hydroxycholoroquine 200 mg/tab BID. Definitive disease etiology and treatment of APP remains to be elucidated.

Zosteriform Atrophoderma of Pasini and Pierini / 대한피부과학회지

Atrophoderma of Pasini and Pierini is characterized by sharply demarcated, slightly depressed blue-brown plaques, arising within the areas of the normal skin. The lesions are usually symmetrically distributed on the trunk, particularly on the back, and to a lesser extent on the extremities. A 14-year-old boy developed well-demarcated depressed plaques in a zosteriform distribution, along the left side of his shoulder, back, and arm, without any symptoms. A biopsy taken from the border between the depressed plaque and the normal-looking skin on the back showed evident dermal atrophy with decreased dermal thickness and thickening of collagen bundles in the depressed plaque, compared to the normal-looking skin, which were consistent with atrophoderma of Pasini and Pierini. Herein, we report an unusual case of zosteriform atrophoderma of Pasini and Pierini.

Clinical efficacy of intensive pulse light on facial telangiectasis and dermal atrophy caused by corticosteroiddependent dermatitis / 中华医学美学美容杂志

Objevtive To evaluate the efficacy and safety of intensive pulse light (IPL) on treating the telangiectasis and dermal atrophy due to corticosteroid-dependent dermatitis.Methods We applied the IPL on 13 patients who had telangiectasis and dermal atrophy caused by corticosteroid-dependent dermatitis every three to four weeks.The treatment lasted three to eight times.The patients's skin types were Fitzpatrick Ⅲ-V and they had had corticosteroid therapy from 15 months to 13 years.Results To telangiectasis,3 patients had excellent effect afterwards;7 patients achieved fair good effect;Another patients also achieved improvement;2 cases had no positive effect;The total effective rate reached 76.92%.10 patients of dermal atrophy among the total 13 had improvement of the thickness of dermis.Conclusion Intensive pulse light can improve the telangiectasis and dermal atrophy of corticosteroid-dependent dermatitis.It needs less recovery time with fewer side effects and therefore IPL is an effective method for the Iesions.