45-Male-Hispanic

soft, wrinkled patches of skin on his lower abdomen and upper thighs over the past year. These areas of skin have gradually become flaccid and dimpled. He has no complaints of pain, itching, or other systemic symptoms. He denies any recent trauma to the skin.

Loose, sagging skin with a "dimpled" appearance on the abdomen and thighs.

areas feel soft and mobile, with atrophic skin that lacks the usual tension. • No signs of active inflammation or ulceration in the affected skin.

Abdomen and upper thighs

Degeneration of elastic fibers in the dermis. o Atrophy of the dermis in the affected areas, with relatively normal epidermis. o No evidence of inflammation, indicating a purely structural change rather than an active inflammatory process. • Laboratory Tests: No significant findings as the condition is primarily a dermatological issue.

Panniculitis , cutaneous t-cell lymphoma - morphea

Anetoderma

laser therapy or surgical excision - moisturizers