A 18-year-old man suffers from chronic atopic dermatitis. For several years, he has applied a corticosteroid cream to the flexural areas of his skin on a daily basis, and the treated areas have been free of pruritus, papules, vesicles, and scales. Asthma and allergic rhinitis are notable medical histories. Which of the following findings would a punch biopsy of the treated skin most likely reveal?

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Eductional Objective: Chronic topical corticosteroid therapy can cause cutaneous atrophy, telangiectasias, and corticosteroid-induced acne. The effects are more pronounced in areas of thin skin and with high-potency corticosteroids (eg, flexural areas). a

A 18-Year-Old Man Suffers from Chronic Atopic Dermatitis