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2012, Number 2

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Med Cutan Iber Lat Am 2012; 40 (2)

Elastosis perforans serpinginosa

Barabash-Neila R, Coronel-Pérez IM, Zulueta-Dorado T, Conejo-Mir J
Full text How to cite this article

Language: Spanish
References: 9
Page: 69-71
PDF size: 100.66 Kb.


Key words:

Elastosis perforans serpiginosa, transepidermal elimination, CO2 laser.

ABSTRACT

Elastosis perforans serpiginosa is a rare chronic dermatosis characterized by extrusion of altered elastic fibers through the epidermis. It often occurs in association with a variety of connective tissue disorders, and may develop following penicillamine therapy; however, it may also present without c morbidities. The mechanism by which the elastic fibers are altered is not known and, unfortunately, there are no evidence-based treatments for this disease. We describe one patient with idiopathic elastosis perforans serpiginosa in patch pattern, which was successfully treated with CO2 laser.


REFERENCES

  1. Patterson JW. The perforating disorders. J Am Acad Dermatol 1984; 10: 561-81.

  2. Barnadas MA, Curell R, Pujol R, de Moragas JM, Alomar A. Elastosis perforans serpiginosa in a patient with pseudoxanthoma elasticum. Actas Dermosifiliogr 2006; 97: 451-5.

  3. Mehta RK, Burrows NP, Payne CM, Mendelsohn SS, Pope FM, Rytina F. Elastosis perforans serpiginosa and associated disorders. Clin Exp Dermatol 2001; 26: 521-4.

  4. De Pasquale R, Nasca MR, Musumeci ML, Micali G. Elastosis perforans serpiginosa in an adult with Down’s syndrome: report of a case with symmetrical localized involvement. J Eur Acad Dermatol Venereol 2002; 16: 387-9.

  5. Langeveld-Wildschut EG, Toonstra J, Van Vloten WA, Beemer FA. Familial elastosis perforans serpiginosa. Arch Dermatol 1993; 129: 205-7.

  6. Fujimoto N, Akagi A, Tarima S, Ishibashi A, Nomura K, Matsushita A et al. Expression of the 67-kDa elastin receptor in perforating skin disorders. Br J Dermatol 2002; 146: 74-9.

  7. Ratnavel RC, Norris PG. Penicillamine-induced elastosis perforans serpiginosa treated successfully with isotretinoin. Dermatology 1994; 189: 81-3.

  8. Saxena M, Tope WD. Response of elastosis perforans serpiginosa to pulsed CO2, Er:YAG, and dye lasers. Dermatol Surg 2003; 29: 677-8.

  9. Abdullah A, Colloby PS, Foulds IS, Whitcroft I. Localized idiopathic elastosis perforans serpiginosa effectively treated by the coherent UltraPulse 5000C aesthetic laser. Int J Dermatol 2000; 39: 717-20.




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C?MO CITAR (Vancouver)

Med Cutan Iber Lat Am. 2012;40