A Case of Atrophia Maculosa Varioliformis Cutis

Bilateral Round Scar-like Lesions on the Face of a Young Man

“…2 The histological findings are variable and nonspecific, including a thinning of the horny layer or the entire epidermis, decreased or fragmented elastic fiber, and a lymphocytic perivascular infiltrate. [1][2][3] The differential diagnosis includes scars that are related to acne, chicken pox varicella, dermatitis artifacta, atrophoderma vermiculata, facial morphea, or primary anetoderma. Atrophoderma vermiculata is a rare condition that is considered to belong to the keratosis pilaris group, characterized by smaller lesions on the cheeks, which is presumably a late reaction to inflammation around the horny plugs.…”

“…The honeycomb-like atrophy on the cheeks of atrophoderma vermiculata helped to exclude this entity There is no standardized treatment for patients with AMVC, although filler injections, dermabrasion, or laser resurfacing may theoretically be helpful in improving the facial scarring. 3,4 Although there are no follow-up data reported in most previous cases, it is important to explain to patients with AMVC that it is a benign and nonprogressive dermatosis.…”

“…Its etiology remains unclear, although its family clustering suggests that it could be a genetic disorder . The histological findings are variable and nonspecific, including a thinning of the horny layer or the entire epidermis, decreased or fragmented elastic fiber, and a lymphocytic perivascular infiltrate …”