Lipoid Proteinosis treated as post acne scars - A clinical diagnostic error

Lipoid proteinosis is a very rare disorder in which there is infiltration of an amorphous hyaline material into the skin, oral cavity, larynx and various internal organs. It usually presents in infancy with hoarseness due to laryngeal infiltration. These patients usually develop acneiform or pock-like scars on the face either spontaneously or due to trauma. In this article, we describe a 27 years old female who was treated as a case of post-acne scars. However, a meticulous history and thorough clinical examination guided us to diagnose it as lipoid proteinosis which was further supported by histopathology.