Abstract

A 35-year-old female presented to clinic for evaluation of a blaschko-linear rash present since birth on her bilateral arms, legs, buttocks, torso, face, and ears (Figs 1 and 2). The lesions were non-blanching, atrophic, and pink-red macules and patches that became more extensive over time. The patient otherwise had no significant medical or relevant family history. She had multiple healthy children. A skin biopsy demonstrated dermal atrophy with adipocytes abnormally located in the superficial dermis, and slightly thickened and dilated blood vessels in the papillary dermis (Fig 3).

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