Atrophie blanche: a diagnostic and therapeutic challenge
Elena Conde Montero, MD, PhD Dermatology Department, Hospital Universitario Infanta Leonor y Virgen de la Torre, Madrid, Spain Alejandro Vivero, MD Wound Clinic, Santo Cuore, Córdoba, Argentina ABSTRACT Atrophie blanche (AB) is a distinctive dermatological finding characterized by stellate, porcelain-white, atrophic plaques, commonly located on the lower extremities. Although traditionally regarded as a permanent sequela of chronic venous insufficiency (CVI), AB may also arise from diverse etiologies including livedoid vasculopathy, vasculitis, and medicationinduced vascular damage. This review aims to clarify the clinical significance of AB, emphasizing the importance of accurate diagnosis and etiology-based management. AB is not a diagnosis itself…