Lipodystrophia centrifugalis abdominalis infantilis L90.88

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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History
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Imamura, 1971

Definition
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Very rare, almost exclusively in Japan and Korea described, circumscribed retraction of the abdominal and breast skin due to fatty tissue dystrophy in children. Isolated cases also in adults. The entity of the clinical picture is not certain (variant of Morphea?).

Etiopathogenesis
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Unknown. Occurs after mechanical trauma and after surgical interventions, among others. Common occurrence with Morphea is described.

Manifestation
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Occurring in children. The ratio of boys to girls is 1:2.

Localization
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Abdomen, groin.

Clinical features
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Beginning of changes in the groin (80%) or armpits with erythematous, bluish or purple spots. Over the course of months, development of indurated plaques or extensive atrophy of the skin and subcutaneous tissue in which the subcutaneous venous plexus shimmers through. Centrifugal increase in size over several years. 2/3 of the patients do not report any complaints. 1/3 show little pain, tension or itching in the lesional areas.

Histology
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Very different histopathological findings were reported with inflammatory infiltrates in the subcutaneous adipose tissue, adipose tissue necrosis and fibrosis of the adipose tissue.

Differential diagnosis
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Therapy
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Not known. Trials with oral and local glucocorticoids and penicillin are ineffective.

Progression/forecast
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Spontaneous regression and healing possible.

Literature
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  1. Aoki E, Kawana S (2000) Lipodystrophia centrifugalis abdominalis infantilis with ulceration. Dermatology 200: 280-281
  2. Chang SE et al (2004) Lipodystrophia centrifugalis abdominalis in Korea. Pediatric dermatol 21: 538-541
  3. Ikoma A et al (1999) A case of lipodystrophia centrifugalis abdominalis infantilis versus morphea. J Dermatol 26: 603-607
  4. Imamura S et al (1971) Lipodystrophia centrifugalis abdominalis infantilis. Arch Dermatol 104: 291-298
  5. Imamura S et al (1979) Lipodystophia centrifugalis abdominalis infantilis. dermatologist 30: 360-364
  6. Kagoura M et al (2001) An ultrastructural study of lipodystrophia centrifugalis abdominalis infantilis, with special reference to fibrous long-spacing collagen. Pediatric Dermatol 18: 13-16
  7. Tremeau-Martinage C et al (1996) Localized lipatrophia with persistent circulating autoanitbodies and partial immunoglobulin A deficiency in a child. Dermatology 192: 353-357

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Last updated on: 29.10.2020