Atrophoderma Vermiculata

Atrophoderma vermiculata (AV) is a rare and benign cutaneous condition characterized by linear, reticulated, or serpiginous furrows on the skin surface, mostly occurring on the cheeks, preauricular area, and forehead (Bhoyrul et al. 2016). Several different names have been used in literature to refer to AV through the years. The condition was first described in 1986 by Unna using the term “ulerythema acneiforme.” Later, in 1920, Darier coined the term “atrophodermie vermiculée” for the same condition. The age at onset of AV varies widely, with most cases presenting in infancy or childhood and others not developing until adolescence or adulthood (Luria and Conologue 2009). AV appears to affect both males and females equally, and there is no significant racial or ethnic predilection (Bhoyrul et al. 2016). There have been reports of autosomal dominant inheritance, although most cases were of sporadic occurrence (Frosch et al. 1988). The disease typically does not cause functional impairment but can have significant cosmetic implications for affected individuals (Apalla et al. 2009).