Eruptive papular elastorrhexis of the face and scalp

Şahin, Sedef; Durmaz, Emel Öztürk; Sezer, Engin; Çetin, Emel Dikicioǧlu

doi:10.1016/j.jaad.2013.05.027

Cited by 11 publications

(20 citation statements)

References 5 publications

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“…Twenty-four cases of PE 1 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21 , 12 cases of EC 22 23 24 25 26 27 28 29 30 31 32 , and 2 cases of NA 7 33 were found. One case of EC 24 was reported in Korean in the Korean literature, and the others were in English.…”

Section: Resultsmentioning

confidence: 97%

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The Importance of Collagen Tissue in Papular Elastorrhexis, Eruptive Collagenoma, and Nevus Anelasticus

Lee

Sung

2016

Ann Dermatol

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BackgroundPapular elastorrhexis (PE), eruptive collagenoma (EC), and nevus anelasticus (NA) are described as multiple small papules with decrease, fragmentation, or lack of dermal elastic fibers. These diseases are suggested to be the same entity. The change of collagen fibers in the conditions has not been addressed to date.ObjectiveWe compared the clinical features of the 3 diseases and investigated changes in the collagen fibers involved.MethodsTwenty-four cases of PE, 12 cases of EC, and 2 cases of NA found in PubMed and the Korean database were reviewed. Changes in dermal collagen fibers in 10 cases with histological figures were investigated.ResultsThere were significant similarities between the 3 entities in terms of their clinical features. Four patients with PE and 2 with EC with fine, dense collagen fibers were women who had multiple white to hypopigmented, slightly indurated to firm, millimeter-size papules on the trunk and/or extremities that progressed gradually after developing in the patients' first to third decades.ConclusionThe 3 conditions are the same clinical entity in our opinion; such cases with fine, dense collagen manifest typical features.

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Section: Resultsmentioning

confidence: 97%

“…Among the reports, we selected only cases with histological figures in which we could evaluate the status of dermal collagen and elastic fibers. Six cases of PE 6 8 9 10 16 18 , 3 cases of EC 24 25 27 , and 1 case of NA 33 were selected. Changes in dermal collagen and elastic fibers in those cases are summarized in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

The Importance of Collagen Tissue in Papular Elastorrhexis, Eruptive Collagenoma, and Nevus Anelasticus

Lee

Sung

2016

Ann Dermatol

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“…[1]. Läsionen auf den Handrücken und im Gesicht sind erst seit Kurzem bekannt [3]. Klinische Kennzeichen sind nicht-follikuläre weiße Papeln, die sich überwiegend an Rumpf und Extremitäten bilden.…”

Section: Histologieunclassified

Small non‐follicular white papules on the back of the hands and the mandibular region

et al. 2016

J Deutsche Derma Gesell

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PatientenanamneseEine gesunde, 24 Jahre alte Frau wurde mit multiplen asymptomatischen weißen Papeln auf den Handrücken und in der Unterkieferregion, die seit 12 Jahren bestanden, in unsere dermatologische Klinik überwiesen. Die Läsionen hatten sich im Lauf der Zeit vervielfacht und zeigten keinerlei spontane Regression. Frühere Akne, längere Sonnenexposition oder Kontakt mit chemischen Stoffen an den genannten Stellen konnten den Auskünften der Patientin zufolge ausgeschlossen werden. Einige der größeren Läsionen waren bereits mit Kryotherapie behandelt worden. Es gab keinen Hinweis auf laxe Gelenke, Plattfüße oder erhöhte Elastizität der Haut. Die Familienanamnese war in Bezug auf ähnliche Hautläsionen unauffällig. Röntgenaufnahmen der Knochen in ihren Armen und Beinen waren ebenfalls unauffällig. InteressenskonfliktKeiner.

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“…It occurs usually in childhood or adolescence such as in our patient. Most of the reported cases were female [1][2][3][4]. Histopathologically, PE displays prominent fragmentation and loss of elastic fibres with or without changes in collagen bundles in the dermis [3].…”

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confidence: 99%

“…It is controversial whether PE is a distinctive entity or not because of clinical and histopathological similarity to these dermatological entities. Although PE is defined as a distinct variant of connective tissue nevi that are hamartomas characterized by an imbalance in the relative amount and distribution of dermal connective tissue components, the opinion that PE is a separate entity is more accepted today because PE is usually acquired, nonfollicular and sparsely located, and histopathologically has prominent elastic tissue fragmentation [1,2,4].…”

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confidence: 99%