Atrophoderma of Pasini and Pierini (APP) is a rare cutaneous entity of unknown etiology. It usually presents with sharply demarcated dermal atrophy, giving a “cliff-drop” appearance. Very few cases occurring in a zosteriform distribution have been reported. In this article, the author reports a rare case of APP in a 42-year-old women where the lesions presented in a zosteriform distribution on the trunk. Diagnosis is made with high clinical suspicion and confirming histopathology.
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