Linear atrophoderma of Moulin

Inflamed bilateral linear atrophoderma of Moulin in an adult woman: a case report

“…However, these plaques are parallel to Blaschko's lines in LAM but not in APP. Like the case reported by Tan and Tay (10), which started as inflammatory papules but developed into atrophic plaques following Blaschko's lines, the case presented here is one of LAM that started with inflammation. Although this could be considered an atypical variant of LAM, Browne et al reported a case with antecedent inflammation and suggested that there are two variants of LAM-inflammatory and non-inflammatory-and that an antecedent inflammatory phase ultimately may evolve into hyperpigmentation with atrophy (14,15).…”

“…In the differential diagnosis two LAM cases were encountered, each starting with inflammatory papules as defined by Browne and Fisher, who suggested that this disease has inflammatory and non-inflammatory variants (11). Pasini and Pierini stated that there may be variants due to the clinical and histopathologic similarity of LAM and atrophoderma (10). In another case report of LAM, pigmentation and atrophy treated with 20 mg per week of methotrexate were reported to decrease for 6 months (10).…”

“…Pasini and Pierini stated that there may be variants due to the clinical and histopathologic similarity of LAM and atrophoderma (10). In another case report of LAM, pigmentation and atrophy treated with 20 mg per week of methotrexate were reported to decrease for 6 months (10). Because of the efficacy of methotrexate, LAM, APP, and linear scleroderma are thought to be variants of the same disease (10).…”

“…In another case report of LAM, pigmentation and atrophy treated with 20 mg per week of methotrexate were reported to decrease for 6 months (10). Because of the efficacy of methotrexate, LAM, APP, and linear scleroderma are thought to be variants of the same disease (10). There are hyperpigmented atrophic plaques in LAM, just as in APP, usually located on the trunk and extremities.…”

Linear Atrophoderma of Moulin on face: An unusual location

“…Lichen striatus is also common acquired self-limited linear eruption in childhood that follows blaschko's lines but histopathology of lichen striatus shows a polymorphic epidermal reaction process of variable lichenoid and spongiotic changes. Morphea can also follow blaschko's lines but absence of preceeding inflammation, dermal induration, scleroderma or sclerosis on histopathology, led us to a diagnosis of LAM 4 . There is no effective treatment for LAM and main concern is esthetic.…”