LIPODYSTROPHIA CENTRIFUGALIS ABDOMINALIS INFANTILIS OCCURRING IN THE NECK

We report a Japanese girl with atypical lipodystrophia centrifugalis a bdominalis infantilis. The initial lesion developed on the neck as an area of erythema which showed centrifugal spread to the nape, submandi bular area and upper breast and central fading to leave a residual dep ression and purplish brown pigmentation symmetrically. A central depre ssion on the neck, nape, submandibular area and upper breast was surro unded by a distinctive erythematous, slightly elevated and indurated b order. Histological examination of the erythematous border revealed in flammatory changes in the subcutaneous fat. Although this patient was affected in an unusual site, we concluded that she had lipodystrophia centrifugalis abdominalis infantilis, because of the overall features of the lesions.