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Pasini and Pierini described a form of atrophoderma in 1923 and 1936, respectively. Today, idiopathic atrophoderma of Pasini and Pierini (IAPP) is mostly considered a rare, distinctive form of plaque morphea with approximately 100 reported cases. The trunk is commonly involved with usually symptomless round or ovoid lesions possibly coalescing to large irregularly shaped atrophic patches. Sharply defined depressed patches of different sizes with cliff-drop borders are a diagnostic clue. Most cases of atrophoderma of Pasini and Pierini occur in women with a peak incidence in the second and third decades of life. Methotrexate is a wellestablished treatment option for plaque morphea. Reports on the successful treatment of IAPP are scant.

Atrophoderma of Pasini and Pierini in a patient with concomitant psoriasis: Response to methotrexate