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Acquired idiopathic cutaneous elastolysis of the papillary and mid‐dermis: distinct but related conditions. Report of two cases
Author(s) -
Betti Roberto,
Inselvini Elena,
Crosti Carlo
Publication year - 1996
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/j.1468-3083.1996.tb00558.x
Subject(s) - medicine , dermis , shoulders , papillary dermis , pathology , abdomen , dermatology , anatomy
Among the acquired idiopathic cutaneous elastolytic disorders, pseudoxanthoma elasticum‐like papillary dermal elastolysis (PDE) and mid‐dermal elastolysis (MDE) are conditions not frequently reported in the literature. We report 2 cases: the first an older woman with typical papular and plaque‐like lesions on both sides of her neck and shoulders and the second a 42‐year‐old woman with fine wrinkles scattered all over the Hunk, shoulders and abdomen. Histological examination of the first case revealed loss of the elastic fibers limited to the papillary dermis, instead in the second case the loss was observed in the mid‐dermis. We discuss the possibility that PDE and some cases of mm‐inflammatory MDE may represent distinct but related entities in a “spectrum” of acquired elastolysis and that they may be an expression of intrinsic aging.