Abstract
A woman, age 32, came to the National Fukuoka Central Hospital because of a cutaneous condition that had begun twelve years previously, at the age of 20. The eruption caused no discomfort. Appearing first on the upper abdomen, the eruption abruptly spread to the chest, shoulders and back after she had been delivered of her first baby. There was no history of an antecedent eruption of any kind, and process had always been clinically noninflammatory. On physical examination, general health of the patient was good. There were numerous lesions on the abdomen, chest, shoulders and back. The lesions’ varied in size from that of a rice to a pea, and on the sides of the thorax were arranged along the lines of cleavage. There were two types of cutaneous lesions; one a soft, bladder like, circumscribed elevation of the skin, the other a flat, shriveled area showing neither elevation nor depression. All the lesions were lighter than the normal skin, some appearing gray. Histologically, there were a marked disruption and a diminution of elastic fibers. This case was diagnosed as macular atrophy of the skin (Schweninger-Buzzi type). This is supposed to be the eleventh case of this disease, reported in Japan. Authors discussed and compared these eleven cases in this report.
