By Gary M. White, MD

Annular lipoatrophy of the ankles is a lipophagic lobular panniculitis located on ankles leading to circumferential lipoatrophy. Its cause is unknown.


Annular lipoatrophy of the ankles is characterized by large atrophic areas with an elevated inflammatory border on both lower legs [Pediatr Dermatol. 2011 Mar-Apr;28(2):146-8]. Some bony changes have been associated [Arch Dermatol. 2010;146(8):877-881].


Treatment options include prednisone, hydroxychloroquine, methotrexate, prednisone, saturated solution of potassium iodide, and dapsone, all of which have varying degrees of efficacy.


An 8-year-old boy. Arch Dermatol. 2010;146(8):877-881


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