ATROPHODERMA

 

 VERMICULATUM

 

Atrophoderma vermiculatum is a term that applies when the lesions are found exclusively on the cheeks. It is a condition that can

either occur sporadically, be inherited as an autosomal dominant disorder, be part of a group of related diseases including keratosis pilaris atrophicans, or be associated with various syndromes.

Multiple inflammatory symmetric papules on the cheeks, presumably centered around hair follicles, may precede the atrophic lesions. These papules then go on to develop pitted, atrophic, and depressed scars in a reticulated or honeycomb pattern . . These lesions can extend to the forehead and preauricular regions. This condition usually has its onset in childhood or, less often, around puberty. Men and women seem to be affected equally. It usually has a slow progressive course.