Atrophie blanche or white atrophy is a disorder which is described in association
with several diseases. It is predominantly localised on the lower leg, but can be
localised on any part of the body. Clinical atrophie blanche is characterised by smooth,
depressed, ivory white plaque in and around which numerous teleangiectatic capillaries
are arrayed. It should not be confused with lichen sclerosis (which is often located
on the vulva), scleroderma, malignant atrophic papulosis and scar formation. Histological
difference between these disorders is very clear. In atrophie blanche a combination
of avascular fields and dilated capillaries with tortuous loops are seen.
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© 2000 Elsevier Science Ireland Ltd. Published by Elsevier Inc. All rights reserved.
