A 57-year-old man with a history of venous stasis leg ulceration
wondered about the "white spots" on his leg. The
condition is atrophie blanche, which manifests as smooth,
ivory-white macules and plaques of sclerosis stippled with
telangiectasia that often are surrounded by mild to moderate
Atrophie blanche is seen most commonly in association
with the healing phase of livedo vasculopathy and hypertensive
vasculopathy, but it is noted also as a nonspecific
finding in diabetes mellitus, dysproteinemic states, lupus
erythematosus, and venous stasis.
Treatment for atrophie blanche is directed at prevention
by addressing the underlying medical condition.