Jason B. Lee

Are You Confident of the Diagnosis? Considered to be a rare clinical variant of localized scleroderma or morphea, the characteristic lesions in atrophoderma of Pasini and Pierini (APP) consist of atrophic lesions or depressions rather than indurated plaques with lilac border. APP typically affects young adults, women outnumbering men, with no associated antecedent history of…

Are You Confident of the Diagnosis? Characteristic findings on physical examination Scleredema typically presents as nonpitting, skin-colored induration of the skin, usually with no surface changes. There is usually no sharp demarcation between the involved and non-involved skin. The face, neck, and trunk, particularly the upper back, are the sites of predilection (Figure 1, Figure…