Acrodermatitis chronica atrophicans (ACA) is a skin manifestation in the late phase of borrelial infection. This elderly female patient had skin atrophy on the back of her right hand. The patient had typical histopathological features and positive IgG borrelial serum antibodies, and borrelial DNA was found in a PCR study of the lesional biopsy specimen. Atrophy was reversed to some degree after appropriate antibiotic therapy.
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"Acrodermatitis Chronica Atrophicans (ACA) - Image." Evidence-Based Medicine Guidelines, Duodecim Medical Publications Limited, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/EBMG/455100/all/Acrodermatitis_chronica_atrophicans__ACA____Image.
Acrodermatitis chronica atrophicans (ACA) - Image. Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. https://evidence.unboundmedicine.com/evidence/view/EBMG/455100/all/Acrodermatitis_chronica_atrophicans__ACA____Image. Accessed January 18, 2020.
Acrodermatitis chronica atrophicans (ACA) - Image. (2019). In Evidence-Based Medicine Guidelines. Available from https://evidence.unboundmedicine.com/evidence/view/EBMG/455100/all/Acrodermatitis_chronica_atrophicans__ACA____Image
Acrodermatitis Chronica Atrophicans (ACA) - Image [Internet]. In: Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. [cited 2020 January 18]. Available from: https://evidence.unboundmedicine.com/evidence/view/EBMG/455100/all/Acrodermatitis_chronica_atrophicans__ACA____Image.
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