Idiopathic atrophoderma of Pasini and Pierini (IAPP) is a type of rarely seen dermal atrophy which little sunken from the skin, characterized with sharp edged plaque lesion. Lesions frequently placed symmetrically and not cause to subjective complaint. It is not certain whether IAPP is a different entity or it is a primary atrophic variant of morphea. Seventeen year-old male patient applied to our clinic with complainant of many slightly sunken from skin brown color spots that settle the front of body and at the middle line of back. The patient was diagnosed of IAPP according to clinical and histopathological findings. In this case of presentation, the clinical and histopathological features of the IAPP has been described and other atrophic dermatosis and their distinctive features have been excluded in the discussion.
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