• Acta Dermatovenerol Croat · Jan 2014

    Review Case Reports

    Acrodermatitis chronica atrophicans of the face: a case report and a brief review of the literature.

    • Giuseppe Stinco, Giusto Trevisan, Maria Martina Patriarca, Maurizio Ruscio, Nicola Di Meo, and Pasquale Patrone.
    • Giuseppe Stinco, MD, Institute of Dermatology , University of Udine, Ospedale "San Michele" , Piazza Rodolone 1, 33013 Gemona del Friuli (Udine), Italy ; giuseppe.stinco@uniud.it.
    • Acta Dermatovenerol Croat. 2014 Jan 1; 22 (3): 205-8.

    AbstractAcrodermatitis chronica atrophicans is a rare late manifestation of tick-borne Borrelia burgdorferi infection, manifesting as inflammatory and atrophic lesions on acral skin. We describe the case of a 73-year-old woman with skin changes progressed to marked atrophy on her left hand and an edematous inflammatory involvement of the face. The diagnosis of acrodermatitis chronica atrophicans was made on the basis of clinical appearance, serological and histopathological findings, and the lesional detection of B. burgdorferi-specific gene segments by polymerase chain reaction. This unusual case illustrates that acrodermatitis chronica atrophicans affects not only the extremities but also the face. The clinical and histological finding of the lesions occurring on acral skin showed a prominent atrophic appearance, while the ones occurring on the face showed a prominent inflammatory appearance.

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