Acrodermatitis Chronica Atrophicans: A Case Report and Review of the Literature

Authors

Matthew T Smetanick, Philadelphia College of Osteopathic MedicineFollow
Sharon L. Zellis
Tanya Ermolovich

Document Type

Article

Publication Date

5-1-2010

Abstract

Acrodermatitis chronica atrophicans (ACA) is a rare tertiary manifestation of Lyme borreliosis, manifesting as inflammatory and atrophic lesions on acral skin. Although ACA rarely has been reported in the United States, it may be seen in approximately 10% of European cases of Lyme borreliosis, most commonly associated with the genospecies Borrelia afzelii. We report a presumptive case of ACA involving an American woman from Pennsylvania with convincing clinical, histopathologic, and serologic findings. We also provide an overview of the history, epidemiology, pathogenesis, clinical and histopathologic presentation, and treatment of ACA.

Publication Title

Cutis

Volume

85

Issue

5

First Page

247

Last Page

252

PubMed ID

20540415

Comments

This article was published in Cutis, Volume 85, Issue 5, May 2010, Pages 247-52.

Copyright © 2010 Frontline Medical Communications Inc.

Recommended Citation

Smetanick, Matthew T; Zellis, Sharon L.; and Ermolovich, Tanya, "Acrodermatitis Chronica Atrophicans: A Case Report and Review of the Literature" (2010). PCOM Scholarly Papers. 123.
https://digitalcommons.pcom.edu/scholarly_papers/123