Lipo-Atrophia Annularis, an Abnormal Vulnerability of the Fatty Tissue

Annular Atrophy of the Ankles

“…Laboratory studies included the following: hemoglobin, 13.3 gm/100 cc; white blood cell count 11,000/cu mm with 55% neutrophils, 45% lymphocytes; platelets adequate, hematocrit, 42%; sedimentation rate, 10 mm; fasting blood sugar, 90 mg/100 cc; serum glutamic oxaloacetic transaminase, 35 units/ml; lactic dehydrogenase, 340 spectrophotometric units/ ml; creatine phosphokinase, 14 international units (IU) per liter; alkaline phosphatase, 66 IU/liter; creatinine, 0.7 mg/100 ml; calcium, 10.5 mg/100 ml; phosphate, 5 mg/100 ml; total protein, 7.5 gm/100 ml; albumin, 4.0 and globu¬ lin, 3 (Fig 2), but again no bone cysts. The muscle masses were not in¬ volved.…”

Annular Atrophy of the Ankles: An Unusual Case Associated with Bone Anomaly

“…This form of lipoatrophy is very rare. Indeed, the only few descriptions in the literature are by Ferreira-Marques [4], Bruinsma [5] and Rongioletti and Rebora [6].…”

Annular Lipoatrophic Panniculitis of the Ankles

“…Besides widespread and recurrent forms of lipoatrophic ILP, some anecdotal reports striking localized lipoatrophy have been reported under the names of lipoatrophia annularis (6), annular atrophy of the ankles (7), lipoatrophia semicircularis (8), lipodystrophia centrifugalis abdominalis infantilis (9), and atrophic connective tissue disease panniculitis (4). In some of these cases, however, an inflammatory phase of panniculitis is not reported.…”