History:

Atrophoderma vermiculatum (honeycomb atrophy) is  characterized by symmetrical involvement of the face by numerous closely crowded small areas of atrophy separated by narrow ridges, producing a cribriform or honeycomb surface. This worm-eaten (vermiculate) appearance results from atrophy of the follicles and surrounding skin. It may be associated with other diseases, such as congenital heart block, other cardiac anomalies, neurofibromatosis, oligophrenia, or Down syndrome.