Mid-dermal elastolysis

A rare, acquired, dermis elastic tissue disease characterized by asymptomatic, well-demarcated, symmetric patches and/or plaques of finely wrinkled skin arranged parallel to skin cleavage lines (type I), associated with perifollicular papular protrusions (type II) or with persistent reticular erythema (type III), occurring predominantly on the shoulders, trunk, back, and proximal extremities, associating, on histopathology, a selective loss of elastic tissue in the midreticular dermis. Erythema and/or urticaria may or may not precede wrinkly lesions.

Urticarial plaque

A well-circumscribed, intensely pruritic, raised wheal (edema of the superficial skin) typically 1 to 2 cm in diameter.


Total: 1

                      


(per page)
PMID (PMCID)
14675289
FEMALE Adult
Mid-dermal elastolysis preceded by acute neutrophilic dermatosis.
Lewis KG, Dill SW, Wilkel CS, Robinson-Bostom L.
J Cutan Pathol. 2004;31(1):72-6.
We report a case of mid-dermal elastolysis in a 31-year-old woman who developed multiple erythematous and urticarial plaques on the arms and trunk.