Ann Dermatol.  2011 Sep;23(Suppl 1):S53-S56. 10.5021/ad.2011.23.S1.S53.

Papular Elastorrhexis: A Case and Differential Diagnosis

Affiliations
  • 1Department of Dermatology, Dongguk University Ilsan Hospital, College of Medicine, Dongguk University, Goyang, Korea. heydoc74@hanmail.net

Abstract

Papular elastorrhexis is a rare cutaneous disorder that occurs predominantly during adolescence. The disorder is characterized by asymptomatic indurated white or flesh papules showing decreased and fragmented elastic fibers in the dermis. We herein report on a 12-year-old girl with multiple asymptomatic white, nonfollicular, firm papules scattered on the extremities and trunk. Histological examination revealed focal areas showing increased layers of collagen fibers and decreased and fragmented elastic fibers in the upper dermis.

Keyword

Connective tissue nevus; Differential diagnosis; Papular elastorrhexis

MeSH Terms

Adolescent
Child
Collagen
Dermis
Diagnosis, Differential
Elastic Tissue
Extremities
Humans
Nevus
Collagen
Nevus

Figure

  • Fig. 1 Multiple asymptomatic discrete firm nonfollicular whitish papules on the extremities.

  • Fig. 2 (A) Increased layer of thin meshwork of collagen fibers in the upper dermis (H&E, ×100). (B) Decrease and fragmentation of elastic fibers in the upper dermis (Verhoeff's iron hematoxylin, ×100).


Cited by  1 articles

The Importance of Collagen Tissue in Papular Elastorrhexis, Eruptive Collagenoma, and Nevus Anelasticus
Seung Ho Lee, Nam Hee Sung
Ann Dermatol. 2016;28(2):210-215.    doi: 10.5021/ad.2016.28.2.210.


Reference

1. Bordas X, Ferrándiz C, Ribera M, Galofré E. Papular elastorrhexis: a variety of nevus anelasticus? Arch Dermatol. 1987. 123:433–434.
Article
2. Buechner SA, Itin P. Papular elastorrhexis. report of five cases. Dermatology. 2002. 205:198–200.
3. Kim YY, Lee JH, Lee JD, Cho SH. A case of popular elastorrhexis. Ann Dermatol. 2007. 19:185–188.
4. Do MO, Kim SH, Choi HY, Myung KB, Choi YW. Papular elastorrhexis. Ann Dermatol. 2007. 19:16–18.
Article
5. Ryder HF, Antaya RJ. Nevus anelasticus, papular elastorrhexis, and eruptive collagenoma: clinically similar entities with focal absence of elastic fibers in childhood. Pediatr Dermatol. 2005. 22:153–157.
Article
6. Uitto J, Santa Cruz DJ, Eisen AZ. Connective tissue nevi of the skin. Clinical, genetic, and histopathologic classification of hamartomas of the collagen, elastin, and proteoglycan type. J Am Acad Dermatol. 1980. 3:441–461.
7. Sears JK, Stone MS, Argenyi Z. Papular elastorrhexis: a variant of connective tissue nevus. Case reports and review of the literature. J Am Acad Dermatol. 1988. 19:409–414.
8. Choonhakarn C, Jirarattanapochai K. Papular elastorrhexis: a distinct variant of connective tissue nevi or an incomplete form of Buschke-Ollendorff syndrome? Clin Exp Dermatol. 2002. 27:454–457.
Article
9. Del Pozo J, Martínez W, Sacristán F, Fernández-Jorge B, Fonseca E. Papular elastorrhexis, a distinctive entity? Am J Dermatopathol. 2008. 30:188–190.
Article
10. Schirren H, Schirren CG, Stolz W, Kind P, Plewig G. Papular elastorrhexis: a variant of dermatofibrosis lenticularis disseminata (Buschke-Ollendorff syndrome)? Dermatology. 1994. 189:368–372.
Article
11. Reid EM, Baker BL, Stees MA, Stone SP. Buschke-Ollendorff syndrome: a 32-month-old boy with elastomas and craniosynostosis. Pediatr Dermatol. 2008. 25:349–351.
Article
12. Schena D, Germi L, Zamperetti MR, Colato C, Girolomoni G. Buschke-Ollendorff syndrome. Int J Dermatol. 2008. 47:1159–1161.
Article
13. Assmann A, Mandt N, Geilen CC, Blume-Peytavi U. Buschke-Ollendorff syndrome-differential diagnosis of disseminated connective tissue lesions. Eur J Dermatol. 2001. 11:576–579.
14. Kim JE, Park HJ, Lee JY, Cho BK. A case of eruptive collagenoma. Korean J Dermatol. 2006. 44:617–619.
15. Lee SH, Park SH, Song KY, Yoon TJ, Kim TH. Papular elastorrhexis in childhood improved by intralesional injections of triamcinolone. J Dermatol. 2001. 28:569–571.
Article
16. Gurel MS, Mulayim MK, Ozardali I, Bitiren M. Familial cutaneous collagenoma: new affected family with prepubertal onset. J Dermatol. 2007. 34:477–481.
Article
17. Wilson BB, Dent CH, Cooper PH. Papular acne scars. A common cutaneous finding. Arch Dermatol. 1990. 126:797–800.
Article
18. Lewis KG, Bercovitch L, Dill SW, Robinson-Bostom L. Acquired disorders of elastic tissue: Part II. decreased elastic tissue. J Am Acad Dermatol. 2004. 51:165–185.
Article
19. Choi HJ, Kim KJ, Lee MW, Choi JH, Moon KC, Koh JK. A case of papular elastorrhexis improved by intralesional injections of triamcinolone acetonide. Korean J Dermatol. 2004. 42:1048–1050.
20. Gass JK, Hellemans J, Mortier G, Griffiths M, Burrows NP. Buschke-Ollendorff syndrome: a manifestation of a heterozygous nonsense mutation in the LEMD3 gene. J Am Acad Dermatol. 2008. 58:5 Suppl 1. S103–S104.
Article
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