Panatrophia localisataL90.8

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Gowers disease; Gowers M.; Local panatrophy (Gowers); Panatrophia cutis localisata; Panatrophy of Gowers

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HistoryThis section has been translated automatically.

Gowers, 1886

DefinitionThis section has been translated automatically.

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.

EtiopathogenesisThis section has been translated automatically.

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.

ManifestationThis section has been translated automatically.

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

LocalizationThis section has been translated automatically.

Mainly back, buttocks, extremities.

Clinical featuresThis section has been translated automatically.

Sharply defined, atrophic, hollowed, hyper- or depigmented skin area.

HistologyThis section has been translated automatically.

Corium and epidermis thinned. Loss of subcutaneous fatty tissue.

Differential diagnosisThis section has been translated automatically.

Lipoatrophia semicircularis, localized lipoatrophy, sclerotic panatrophy.

TherapyThis section has been translated automatically.

  • 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.

Progression/forecastThis section has been translated automatically.

Suspension of the atrophic process within a few months.

LiteratureThis section has been translated automatically.

  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

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer