This article has been peer reviewed and approved by Michael Fisher, MD, Professor of Medicine, Albert Einstein College of Medicine. Review date: January 2009.
Drs. Luria and Conologue report no conflict of interest. The authors report no discussion of off-label use. Dr. Fisher reports no conflict of interest. The staff of CCME of Albert Einstein College of Medicine and Cutis® have no conflicts of interest with commercial interest related directly or indirectly to this educational activity. Dr. Luria was a dermatology resident and Dr. Conologue was a dermatologist, both from Walter Reed Army Medical Center, Washington, DC. Dr. Luria currently is Assistant Professor, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Dr. Conologue currently is a staff dermatologist, Geisinger Medical Center, Danville, Pennsylvania. The opinions herein the private views of the authors and not the official position of the US Department of the Army.
Rebecca B. Luria, MD; Theresa Conologue, DO
Atrophoderma vermiculatum (AV) is a rare follicular disorder primarily affecting children with reticular or honeycomb atrophy of the cheeks and forehead. Along with keratosis pilaris atrophicans faciei (KPAF) and keratosis follicularis spinulosa decalvans (KFSD), AV falls within the broader spectrum of keratosis pilaris atrophicans (KPA). Although these 3 variants of KPA have unique presentations and associations, they can all be frustratingly difficult to treat. We describe a sporadic case of AV that presented in late adolescence, a relatively late age of onset.
