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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

ATROPHIC LESIONS
65
Schneiderman page 1-100.qxd 5/16/2006 6:49 PM Page 65


Prolidase deficiency – autosomal recessive; skin spongy and
fragile with annular pitting and scarring; leg ulcers;
photosensitivity, telangiectasia, purpura, premature graying,
lymphedema 
Ped Derm 13:58–60, 1996; JAAD 29:819–821,
1993; AD 127:124–125, 1991; AD 123:493–497, 1987
NEOPLASTIC DISEASES
Basal cell carcinoma, morphea-like 
Ghatan p.5, 2002,
Second Edition
Basal cell nevus (linear basal cell nevus) – resemble
comedones; usually linear translucent telangiectatic papules,
may ulcerate; macular hypopigmentation, alopecia, cysts, striae
Cutis 46:493–494, 1990; BJD 74:20–23, 1962
Becker’s nevus – with underlying lipoatrophy 
BJD 129:213, 1993
Connective tissue nevus
Dermal dendrocyte hamartoma – medallion-like; annular brown
or red congenital lesion of central chest with slightly atrophic
wrinkled surface 
JAAD 51:359–363, 2004
Dermatofibroma – atrophic dermatofibroma 
Dermatol Surg
28:1085–1087, 2002; J Dermatol 22:334–339, 1995;
JAAD 25:1081–1082, 1991; dermatofibroma with secondary
anetoderma
Dermatofibrosarcoma protuberans – atrophic variant 
Cutis
74:237–242, 2004; JAAD 49:761–764, 2003; BJD 139:719–725,
1998; congenital – atrophic blue patch AD 139:207–211, 2003
Desmoplastic trichoepithelioma – atrophic scar-like lesions
Extramammary Paget’s disease 
Ghatan p.5, 2002,
Second Edition
Granulomatous slack skin syndrome – due to CD30
+
T-cell
lymphoproliferative disorder 
BJD 147:998–1002, 2002
Infantile myofibromatosis – dimple 
Ped Derm 8:306–309, 1991;
atrophic scarring after resolution 
Ped Derm 19:520–522, 2002;
Curr Prob Derm 14:41–70, 2002; JAAD 41:508, 1999
Lymphoma – cutaneous T-cell lymphoma (CTCL) 
Rook p.2376,
1998, Sixth Edition; granulomatous slack skin syndrome
AD 141:1178–1179, 2005; JAAD 51:165–185, 2004;
AD 107:271–274, 1973; BJD 82:397–401, 1970; secondary
anetoderma; acquired localized cutis laxa due to
lymphoplasmacytoid lymphoma 
AD 131:110–111, 1995;
lymphomatoid granulomatosis (angiocentric lymphoma) – red,
brown, or violaceous plaques with epidermal atrophy and
purpura 
JAAD 20:571–578, 1989; AD 124:571–576, 1988;
B-cell lymphoma overlying acrodermatitis chronica atrophicans
associated with 
Borrelia burgdorferi infection JAAD 24:584–590,
1991
Melanocytic nevus – atrophy underlying giant congenital
melanocytic nevus 
Ped Derm 17:387–390, 2000; Rook
p.1733–1735, 1998, Sixth Edition; Ped Derm 12:272–274, 1995;
giant congenital melanocytic nevus with atrophy of an extremity
Ped Derm 15:287–289, 1998; anetoderma associated with
congenital melanocytic nevi 
JAAD 39:843–845, 1998; atrophic
nevi 
Rook p.2004, 1998, Sixth Edition
Myeloma – acral acquired cutis laxa with myeloma
AD 112:835–835, 1976
Myofibroma, infantile – congenital area of atrophy 
Textbook
of Neonatal Dermatology, p.398, 2001
Neurofibroma – pseudoatrophic macular variant 
Cutis
57:100–102, 1996
Nevus anelasticus 
Int J Dermatol 25:171–173, 1986
Nevus lipomatosis 
Ghatan p.5, 2002, Second Edition 
Nevus of Ota (nevus fuscoceruleus ophthalmomaxillaris) – one
case of facial hemiatrophy 
Rook p.1731, 1998, Sixth Edition;
BJD 67:317–319, 1955
Pilomatrixoma – secondary anetoderma 
JAAD 39:191–195,
1998; JAAD 25:1072–1076, 1991
Primary cutaneous meningioma – scalp or paraspinal region of
children and teenagers with central depression epidermal
atrophy 
Cancer 34:728–744, 1974
Seborrheic keratosis 
Ghatan p.5, 2002, Second Edition
Sequestrated meningioma of scalp with overlying atrophy
Ped Derm 14:315–318, 1994
Smooth muscle hamartoma – linear atrophic plaque 
Ped Derm
13:222–225, 1996

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