Macular Atrophy (Anetoderma of Jadassohn). Presented by Dr. Harley A. Haynes Jr.
A 33-year-old white woman for the past 10 years had slowly developed an increasing number of skin lesions, completely asymptomatic, over her arms, shoulders, and thighs. There was no history of any preceding chronic illness or skin disease.
There was a questionable history of von Recklinghausen's disease in an aunt.
Examination of the skin reveals about 100 scattered lesions, appearing as slightly atrophic areas from 5 to 15 mm. in diameter, which apparently bulge slightly outward, with a wrinkled surface, although when palpated the lesions are definitely atrophic and give the impression of a depression. There is no change in color from the normal skin, nor is there urtication with friction.
A biopsy specimen was taken from a lesion on the left upper chest, and when a section of the skin was excised it not only