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A Case Report of Pseudoxanthoma Elasticum-like Papillary Dermal Elastolysis

Authors :
Jehad Hariri
Source :
Journal of King Abdulaziz University - Medical Sciences. 23:49-53
Publication Year :
2016
Publisher :
King Abdulaziz University Scientific Publishing Centre, 2016.

Abstract

Pseudoxanthoma elasticum-like papillary dermal elastolysis is a relatively rare disorder within the literature. Increased awareness of this entity will broaden the differential diagnoses among dermatologists encountering such a condition. Pseudoxanthoma elasticum-like papillary dermal elastolysis tends to occur predominantly in elderly females. Clinically, the lesions present as papules and cobblestone plaques on the neck, resembling pseudoxanthoma elasticum. Histologically, there is absence of elastic fibers in the papillary dermis, and no calcification of the remaining fibers. Pseudoxanthoma elasticum-like papillary dermal elastolysis differs from Pseudoxanthoma elasticum by the absence of systemic manifestations, hence patients are reassured and no further workup is warranted. As of now, no effective treatments are available for this entity. Pseudoxanthoma elasticum-like papillary dermal elastolysis should be in the differential diagnosis of a dermatologist when encountering a clinical presentation of Pseudoxanthoma elasticum in an elderly patient localized to the neck, with absence of fragmented and calcified elastic fibers on histologic examination.

Details

ISSN :
16584279 and 13191004
Volume :
23
Database :
OpenAIRE
Journal :
Journal of King Abdulaziz University - Medical Sciences
Accession number :
edsair.doi...........9363b55fe461fb546166a9553973154b
Full Text :
https://doi.org/10.4197/med.23-2.6