Poikiloderma, by definition, occurs in the setting of hyperpigmentation, hypopigmentation, atrophy, and telangiectasias. There are numerous entities where poikiloderma is present, the most common being a result of chronic photodamage and is termed poikiloderma of Civatte (PC). PC was initially described by Civatte in 1923. Recently, histologic evaluation has confirmed the aforementioned characteristics, in addition to degeneration of collagen bundles and solar elastosis.1
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