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November 1977

Macular Anetoderma in an Appendectomy Site

Author Affiliations

Toulouse, France

Arch Dermatol. 1977;113(11):1612. doi:10.1001/archderm.1977.01640110132036

To the Editor.—  The macular anetodermas are idiopathic atrophies of the skin characterized by multiple, discrete, oval lesions of loose, wrinkled, skin that may be depressed or bulge loosely. I report a particular case, in which a classical eruption was associated with the very elective occurrence of several lesions of anetoderma in an appendectomy site.

Report of a Case.—  A 12-year-old girl had an eruption of macular anetoderma that appeared at the age of 8 years and developed gradually. When the patient was first seen, lesions were in the atrophic stage and had the characteristic bulging appearance. Pressure with the tip of the finger readily depressed the bulge, and a defect in the dermis was felt. The bulge reappeared when the finger was released, much like an umbilical hernia. The lesions were distributed over the shoulders, interscapular area, upper arms, and trunk. Subjective symptoms were absent. About 40 typical lesions

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