Publication:

Atrophic wrinkled plaque on face: a diagnostic dilemma

We report an interesting case of an eight year old boy presenting with a depressed atrophic wrinkled plaque on cheek for last three years. The clinical finding of wrinkling and soft and pulpy consistency of lesion raised the possibility of elastolytic disorder but was ruled on the basis of normal elastic tissue on Verhoff stain. The histopathological findings were consistent with atrophoderma, but the lesion lacked the classical clinical features, thereby posing a diagnostic dilemma.