Panatrophia localisata L90.8

Rarely acquired, localized, partial or total loss of subcutaneous fatty tissue. Fatty tissue atrophy may be combined with atrophy of the underlying muscles and bones.

Unsolved, in some cases corticoid crystal suspensions are accused. Connection with circumscribed scleroderma is discussed. A case of Panatrophia localisata in the area of a congenital melanocytic nevus (so-called bathing trunks nevus) has been described.

Preferably affected are women between the 2nd and 4th decade of life.

• No general causal therapy known. As far as possible, treatment of the cause.
• As a consequence of circumscribed scleroderma: The therapy is based on the cosmetic need. Preferably plastic surgery corrections. Attempt at fat tissue augmentation.

Suspension of the atrophic process within a few months.

1. Barnes S (1902) Report on Sir William Gowers' case of local panatrophy Transact Clin Soc London 36: 164-168
2. Barnes S (1939) Gowers' case of local panatrophy. Br J Dermatol 51: 377-380
3. Gowers W (1886) A Manual of Diseases of the Nervous system. Vol. 1, J. &. A. Churchill, London, p. 365
4. Paliwal VK et al (2015) Panatrophy of Gowers is a rare disease: case reports and review of theliterature
   . Int J Dermatol 54:656-661.
5. Sakamoto T et al (1998) Gowers' local panatrophy. Eur J Dermatol 8: 116-117