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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
67
Schneiderman page 1-100.qxd 5/16/2006 6:49 PM Page 67


BJD 146:267–274, 2002; junctional EB, mitis type;
epidermolysis bullosa progressiva – cigarette paper atrophy
(junctional EB) 
JAAD 16:195–200, 1987; cicatricial junctional EB;
generalized atrophic benign epidermolysis bullosa (GABEB) –
atrophic scarring and follicular atrophy 
Dermatologica
176:83–90, 1988; epidermolysis bullosa superficialis – atrophic
scarring, oral, conjunctival blisters 
AD 125:633–638, 1989;
epidermolysis bullosa simplex with or without associated
neuromuscular disease; thin or atrophic nails 
Ghatan p.109,
2002, Second Edition
Familial anetoderma (hereditary anetoderma) 
JAAD
35:999–1000, 1996
Focal facial dermal dysplasia – scar-like depressions of pre-
auricular regions of face 
JAAD 27:575–582, 1992
Folliculitis ulerythematosa reticulata
Generalized lipodystrophy
Granuloma gluteale infantum with atrophic scars 
Clin Exp
Dermatol 6:23–29, 1981
Inflammatory lipoatrophies
Connective tissue panniculitis
LE profundus
Morphea
Rothman-Makai
Weber Christian
Non-inflammatory lipoatrophies
Annular atrophy of the ankles
Atrophic connective tissue panniculitis
Lipoatrophia annularis
Lipoatrophia semicircularis
Localized involutional lipoatrophy 
JAAD 35:523–528, 1996
Partial lipodystrophy with glomerulonephritis and complement
abnormalities
Panatrophy of Gowers
Keratosis follicularis spinulosa decalvans
Keratosis pilaris atrophicans
Lateral facial clefts (macrostomia) – isolated; associated with
Treacher Collins syndrome, oculo-auriculo-vertebral spectrum,
Nager acrofacial dysostosis, amniotic rupture sequence
Syndromes of the Head and Neck, p.709, 1990; J Laryngol Otol
87:309–313, 1973
Lichen planus – annular atrophic lichen planus 
AD 141:93–98,
2005; JAAD 25:392–394, 1991; atrophic variant JAAD
12:844–851, 1985; secondary anetoderma Rook p.1904–1912,
1998, Sixth Edition; atrophic nails Ghatan p.114, 2002,
Second Edition
Lichen sclerosus et atrophicus – wrinkled lesions, atrophic
vulvar with shrinkage 
Cutis 67:249–250, 2001; Rook
p.2549–2551,3231–3232, 1998, Sixth Edition; Trans St John’s
Hosp Dermatol Soc 57:9–30, 1971
Linear focal elastosis (striae) – yellow linear bands of lower
back 
JAAD 20:633–636, 1989
Lipoatrophia semicircularis – anterolateral thighs; band-like
circular depression; lipoatrophy of ankles 
BJD 105:591–593,
1981; JAAD 39:879–881, 1998
Lipodystrophia centrifugalis abdominalis infantilis – annular,
atrophic patches and plaques 
Ped Derm 18:13–16, 2001; JAAD
11:203–209, 1984; AD 104:291–298, 1971
Lipodystrophia centrifugalis abdominalis infantilis -
malformations of face, skull, hands 
Ped Derm 19:365–367,
2002; hypopigmented and vulvar lesions Ped Derm
21:538–541, 2004; AD 104:291–298, 1971
Lipodystrophy 
Am J Med 108:143–152, 2000; JAAD
32:130–133, 1995
Congenital total lipodystrophy (congenital generalized
lipodystrophy) (Berardinelli syndrome, Seip
syndrome) – extreme muscularity and generalized loss of
body fat from birth, acanthosis nigricans, acromegalic
features, umbilical hernia, hyperinsulinemia (fasting and
postprandial), early onset diabetes mellitus or glucose
intolerance, hypertriglyceridemia/low HDL-C level, hirsutism,
clitoromegaly 
Cutis 70:65–69, 2002; J Clin Endocrinol Metab
85:1776–1782, 2000
Familial partial lipodystrophy of the limbs and lower trunk
(Kobberling–Dunnigan syndrome, Dunnigan variety) – onset
of lipoatrophy at puberty, extreme muscularity and lack of
subcutaneous fat in all extremities, excess fat of face and
neck, acanthosis nigricans, mild to moderate fasting or
postprandial hyperinsulinemia, impaired glucose tolerance or
diabetes mellitus after age 20 years, hypertriglyceridemia/low
HDL-C levels 
Cutis 70:65–69, 2002; J Clin Endocrinol Metab
85:1776–1782, 2000
Familial partial lipodystrophy, mandibuloacral dysplasia
variety – autosomal recessive; short stature, high pitched
voice, mandibular and clavicular hypoplasia, dental
anomalies, acro-osteolysis, stiff doints, cutaneous atrophy,
alopecia, nail dysplasia 
Am J Med 108:143–152, 2000
Familial lipodystrophies, other – autosomal dominant;
acromegalic features 
Am J Med 108:143–152, 2000
Acquired total lipodystrophy (acquired generalized
lipodystrophy) (Lawrence–Seip syndrome) – extreme
muscularity; generalized lack of fat during childhood or later,
loss of subcutaneous fat from palms and soles, severe fasting
or postprandial hyperinsulinemia, impaired glucose tolerance
or diabetes mellitus, hypertriglyceridemia/low HDL-C levels;
presence of other autoimmune diseases 
Cutis 70:65–69,
2002; J Clin Endocrinol Metab 85:1776–1782, 2000
Acquired partial lipodystrophy (progressive lipodystrophy,
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