Atrophodermia vermiculata L90.81

Author: Prof. Dr. med. Peter Altmeyer

Co-Autor: Conrad Hempel

All authors of this article

Last updated on: 29.10.2020

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Synonym(s)

Atrophia maculosa varioliformis cutis; Atrophoderma vermiculatum; Atrophodermia reticulata symmetrica faciei; folliculitis atrophicans reticulata; folliculitis ulerythematosa reticulata

History
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Darier, 1920

Definition
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Sporadically occurring, chronic (harmless) disease pattern under several names. Clinically, in children and adolescents, the smallest wormlike, sharply retracted follicular scars (gaping follicles) with unknown etiology are found on the cheeks, usually symmetrically located on both sides. On close inspection, scattered follicular keratoses can often still be detected (see figure). The majority of authors interpret the clinical picture as a scarred final state of "atrophying" keratosis pilaris (faciei) (see also the explanations on the erythema perstans faciei).

Etiopathogenesis
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Scarred final stage of an atrophying keratosis pilaris in the facial region. Sporadic occurrence. Gene locus (so far) not known.

Manifestation
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Conspicuous in adolescence or early adulthood; no gender preference known.

Also occurs in Bazex-Dupré-Christol syndrome (back of the hand and foot).

Localization
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Cheeks bds. mostly symmetrical distribution.

Histology
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Follicular keratoses, horny cysts, atrophy of the epidermis and sebaceous glands.

Differential diagnosis
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Therapy
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For cosmetic indication dermabrasion.

Literature
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  1. Chisholm C et al (2011) Unusual and recently described cutaneous atrophic disorders. Int J Dermatol 50:1506-151
  2. The A, Podder I (2014) Atrophoderma vermiculatum. Indian Pediatr51:679
  3. Darier J (1920) Atrophodermia vermiculée des joues avec kératoses follikulaires. Bull Soc Franc Derm Syph 27: 345
  4. Jansen T et al (2003) Atrophodermia vermiculata: case report and review of the literature. J Eur Acad Dermatol Venereol 17:70-72
  5. Schaller J et al (2010) Sweat duct proliferation associated with aggregates of elastic tissue and atrophodermia vermiculata: a simulator of microcystic adnexal carcinoma. Report of two cases. J Cutan catheter 37:1002-1009

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Last updated on: 29.10.2020