A particular form of cutaneous atrophy was described in 1929 by Milian under the title atrophie blanche.1 He distinguished two forms: atrophie blanche en plaque and atrophie blanche segmentaire. However, his clinical description of the latter is not sufficiently clear to differentiate it from other atrophies, and he did not record the histologic appearance. Atrophie blanche en plaque, on the other hand, has been recognized as a definite clinical entity and has been widely described in the European literature.*
These atrophic plaques almost always occur on the legs and ankles. Most frequently the patient is a woman of middle age or older who has varicosities and associated cutaneous changes, although the syndrome does occur in men and, in some instances, without accompanying vascular or cutaneous abnormalities.
The lesions are scar-like plaques that are slightly depressed and whitish to ivory-colored. Small areas