LEG CROSSER’S DIMPLE
Localized lipoatrophy
Dott. Luciano Schiazza
Specialista in Dermatologia e Venereologia
Specialista in Leprologia e Dermatologia Tropicale
c/o InMedica - Centro Medico Polispecialistico
Largo XII Ottobre 62
16121 Genova
cell 335.655.97.70 - studio 010 5701818
www.lucianoschiazza.it
Localized lipoatrophy is characterized by noninflamed, focal loss of subcutaneous tissue. The case is that of a young woman with no personal or familial history of any systemic disorder (panniculitis, diabetes mellitus, connective tissue disease), injections of corticosteroids, antibiotics, etc. She presented a bilateral, band like horizontal depression of both thighs. The skin lesions showed no evidence of clinical inflammation. It had never been symptomatic nor had any pigmentary changes.
![lipotrofia localizzata](Lipotrofia/image003.jpg)
![lipotrofia localizzata](Lipotrofia/image001.jpg)
![lipotrofia localizzata](Lipotrofia/image004.jpg)
She was usued, in her office, to seat on a plastic seat, for hours, crossing her right leg over the left and conversely: the site of indentations on the thighs corresponded exactly to hard border of the seat.
![lipotrofia localizzata](Lipotrofia/image005.jpg)
![lipotrofia localizzata](Lipotrofia/image006.jpg)
Prolonged, repeated local pressure to the thighs by the edge of the seat, with a long history of leg crossing, explained this condition. Such pressure could result in involution of subcutaneous fat in a similar way to lipoatrophia semicircularis.
This condition is mainly of cosmetic concern only. Lesions had gradually resolved after seat had been changed and leg crossing avoided.