Idiopathic atrophoderma of Pasini and Pierini: A case report and review of the literature

Yıl 2012, Cilt: 3 Sayı: 2, 296 - 299, 01.06.2012

Enver Turan Siraç Aktar Yavuz Yeşilova Tuğba Kökgil Gül Türkçü

https://doi.org/10.5799/ahinjs.01.2012.02.0166

Öz

Idiopathic atrophoderma of Pasini and Pierini (IAPP) is a type of rarely seen dermal atrophy which little sunken from the skin, characterized with sharp edged plaque lesion. Lesions frequently placed symmetrically and not cause to subjective complaint. It is not certain whether IAPP is a different entity or it is a primary atrophic variant of morphea. Seventeen year-old male patient applied to our clinic with complainant of many slightly sunken from skin brown color spots that settle the front of body and at the middle line of back. The patient was diagnosed of IAPP according to clinical and histopathological findings. In this case of presentation, the clinical and histopathological features of the IAPP has been described and other atrophic dermatosis and their distinctive features have been excluded in the discussion. J Clin Exp Invest 2012; 3(2): 296-299

Anahtar Kelimeler

Morphea, atrophoderma of Pasini and Pierini

Pasini ve Pierini’nin idiopatik atrofoderması: Bir olgu sunumu ve literatürün gözden geçirilmesi

Öz

Pasini ve Pierini'nin idiopatik atrofoderması (PPİA) deriden hafif çökük, keskin sınırlı plak lezyonlarla karakterize nadir görülen bir dermal atrofi tipidir. Lezyonlar sıklıkla gövdede simetrik olarak yerleşim gösterir ve subjektif yakınmaya neden olmaz. PPİA'nın farklı bir antite mi yoksa morfeanın primer atrofik bir varyantı mı olduğu net değildir. On yedi yaşında erkek hasta gövde ön yüz ve sırt orta hatta yerleşim gösteren çok sayıda deriden hafif çökük kahverengi renkte lekeler şikayeti ile başvurdu. Klinik ve histopatolojik bulgularla hastaya PPİA tanısı kondu. Bu olgu sunumunda PPİA'nın klinik ve histopatolojik özellikleri vurgulanmakta, diğer atrofik dermatozlar ile ayrıt edici özellikleri tartışılmaktadır.

Anahtar Kelimeler

Morfea, Pasini ve Pierini atrofoderması

Kaynakça

• Canizares O, Sachs PM, Jaimovich L, Torres VM. Idio- pathic atrophoderma of Pasini and Pierini. AMA Arch Derm 1958;77(1):42-58.
• Hawkins CN, Barankin B. Dermacase. Atropho- derma of Pasini and Pierini. Can Fam Physician 2009;55(9):893-4.
• Jablonska S, Blaszczyk M. Is superficial morphea syn- onymous with atrophoderma Pasini-Pierini? J Am Acad Dermatol 2004;50(6):979-80.
• Pullara TJ, Lober CW, Fenske NA. Idiopathic at- rophoderma of Pasini and Pierini. Int J Dermatol 1984;23(10):643-5.
• Stoner MF, Dixon SL. Purple depressions on the trunk and extremities. Atrophoderma of Pasini and Pierini. Arch Dermatol 1990;126(12):1641-4.
• Wakelin SH, James MP. Zosteriform atrophoderma of Pasini and Pierini. Clin Exp Dermatol 1995;20(3):244- 6.
• Miteva L, Kadurina M. Unilateral idiopathic atro- phoderma of Pasini and Pierini. Int J Dermatol 2006;45(11):1391-3.
• Howell SM, Krivda SJ. What is your diagnosis? Id- iopathic atrophoderma of Pasini and Pierini. Cutis 2008;81(6):467:75-6.
• Tajima S, Sakuraoka K. A case of atrophoderma of Pa- sini and Pierini: analysis of glycosaminoglycan of the lesional skin. J Dermatol 1995;22(10):767-9.
• Berman A, Berman GD, Winkelmann RK. Atrophoder- ma (Pasini-Pierini). Findings on direct immunofluores- cent, monoclonal antibody, and ultrastructural studies. Int J Dermatol 1988;27(7):487-90.
• Kernohan NM, Stankler L, Sewell HF. Atrophoderma of Pasini and Pierini. An immunopathologic case study. Am J Clin Pathol 1992;97(1):63-8.
• Bilgiç Ö, Yener Ş. Pasini ve Pierini’nin idyopatik atro- foderması. Dermatoz 2011;2(1):235-8.
• Buechner SA, Rufli T. Atrophoderma of Pasini and Pierini. Clinical and histopathologic findings and anti- bodies to Borrelia burgdorferi in thirty-four patients. J Am Acad Dermatol 1994;30(3):441-6.
• Cliff S, Harland CC. Atrophoderma of Pasini and Pier- ini. Clin Exp Dermatol 1996;21(2):174.
• Kökçam İ. Pasini ve Pierini’nin idiopatik atrofoderma- sı. T Klin Tıp Bilimleri 2003;23:234-7.
• Mohrenschlager M, Jung C, Ring J, Abeck D. Effect of penicillin G on corium thickness in linear morphea of childhood: An analysis using ultrasound technique. Pediatr Dermatol 1999;16(4):314-6.
• Arpey CJ, Patel DS, Stone MS, Qiang-Shao J, Moore KC. Treatment of atrophoderma of Pasini and Pierini- associated hyperpigmentation with the Q-switched alexandrite laser: a clinical, histologic, and ultrastruc- tural appraisal. Lasers Surg Med 2000;27(3):206-12.