Acrodermatitis chronica atrophicans overview
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
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Overview
Acrodermatitis chronica atrophicans is a skin rash indicative of the third or late stage of European Lyme borreliosis. It is a dermatological condition that takes a chronically progressive course and finally leads to a widespread atrophy of the skin. Involvement of the peripheral nervous system is often observed, specifically polyneuropathy.
Historical Perspective
The first record of ACA was made in 1883 in Breslau, Germany, where a physician named Alfred Buchwald first delineated it. Herxheimer and Hartmann described it in 1902 as a "tissue paper" like cutaneous atrophy.