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Aplasia cutis

A congenital condition presenting at birth as a localized absence of skin, most commonly a solitary, well-demarcated, membranous or ulcerative lesion on the scalp.

Atrophic lichen planus

A variant of lichen planus that results in well-demarcated, whitish, atrophic plaques, often on the shins or oral mucosa.

Atrophie blanche

Presents as star-shaped, porcelain-white, atrophic scars on the lower legs, often surrounded by telangiectasias, resulting from healed livedoid vasculopathy.

Atrophoderma of Pasini and Pierini

Characterized by large, asymptomatic, sharply demarcated "cliff-drop" patches of dermal atrophy with a bluish-brown hue, typically on the back.

Discoid lupus erythematosis

A form of cutaneous lupus that heals with characteristic atrophic, depigmented scars with a hyperpigmented rim and follicular plugging.

Focal dermal hypoplasia

A genetic disorder (Goltz syndrome) with linear or whorled areas of skin atrophy, telangiectasias, and herniation of subcutaneous fat through the thin dermis.

Leprosy

Tuberculoid leprosy causes well-defined, anesthetic plaques that are atrophic and hairless.

Lichen sclerosus

A chronic inflammatory condition causing distinctive white, atrophic, "cigarette paper" or wrinkled skin, most commonly in the anogenital region.

Morphea

A form of localized scleroderma that can evolve into a hardened, indurated plaque with a central atrophic, ivory-white appearance and a lilac-colored border.

Necrobiosis lipoidica

A condition on the shins where plaques develop a distinct waxy, yellow, atrophic center with prominent telangiectasias.

Steroid overuse

Long-term use of potent topical steroids causes localized skin thinning, fragility, telangiectasias, and purpura.

Striae

Linear bands of atrophic skin that begin as red or purple (striae rubra) and mature into white, wrinkled lines (striae alba), caused by rapid stretching of the skin.

Syphilis

Tertiary syphilis can cause gummas, which are destructive granulomatous lesions that heal with atrophic, tissue-paper like scars.

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