Papular elastorrhexis: clinical perspectives

Engin Sezer, Emel Öztürk Durmaz, Sedef Şahin Department of Dermatology, Acibadem University School of Medicine, Istanbul, Turkey Abstract: First described by Bordas in 1987, papular elastorrhexis (PE) is a rare elastic fiber disorder of the skin characterized by multiple, discrete,...

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Main Authors: Sezer E, Durmaz EÖ, Şahin S
Format: Article
Language:English
Published: Dove Medical Press 2018-10-01
Series:Clinical, Cosmetic and Investigational Dermatology
Subjects:
Online Access:https://www.dovepress.com/papular-elastorrhexis-clinical-perspectives-peer-reviewed-article-CCID
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author Sezer E
Durmaz EÖ
Şahin S
author_facet Sezer E
Durmaz EÖ
Şahin S
author_sort Sezer E
collection DOAJ
description Engin Sezer, Emel Öztürk Durmaz, Sedef Şahin Department of Dermatology, Acibadem University School of Medicine, Istanbul, Turkey Abstract: First described by Bordas in 1987, papular elastorrhexis (PE) is a rare elastic fiber disorder of the skin characterized by multiple, discrete, asymptomatic, firm, nonfollicular, monomorphous, 1–5 mm, circumscribed, hypopigmented, oval to round papules, symmetrically distributed on the chest, abdomen, back, shoulders, arms, and thighs. The onset of the condition is usually in the first or second decade of life. PE appears to be an exceedingly rare entity, with 33 cases reported in the literature until now. However, the disorder might be underestimated probably because of its subtlety, asymptomatic course, and benign nature of clinical alterations, which can easily be confused with other dermatoses such as acne scars. Clinical and histopathological differential diagnosis of PE is broad and includes papular acne scars, eruptive collagenoma, disseminated lenticular dermatofibrosis (as a component of Buschke–Ollendorff syndrome), white fibrous papulosis of the neck, pseudoxanthoma elasticum, pseudoxanthoma elasticum-like papillary dermal elastolysis, middermal elastolysis, and perifollicular elastolysis. Treatment of PE is a matter of debate and no reliable curative option exists. Keywords: papular elastorrhexis, elastic fibers, connective tissue
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spelling doaj.art-3fe92d7e0c16439cb9482b19ba7a2b1a2022-12-22T00:16:40ZengDove Medical PressClinical, Cosmetic and Investigational Dermatology1178-70152018-10-01Volume 1154154441803Papular elastorrhexis: clinical perspectivesSezer EDurmaz EÖŞahin SEngin Sezer, Emel Öztürk Durmaz, Sedef Şahin Department of Dermatology, Acibadem University School of Medicine, Istanbul, Turkey Abstract: First described by Bordas in 1987, papular elastorrhexis (PE) is a rare elastic fiber disorder of the skin characterized by multiple, discrete, asymptomatic, firm, nonfollicular, monomorphous, 1–5 mm, circumscribed, hypopigmented, oval to round papules, symmetrically distributed on the chest, abdomen, back, shoulders, arms, and thighs. The onset of the condition is usually in the first or second decade of life. PE appears to be an exceedingly rare entity, with 33 cases reported in the literature until now. However, the disorder might be underestimated probably because of its subtlety, asymptomatic course, and benign nature of clinical alterations, which can easily be confused with other dermatoses such as acne scars. Clinical and histopathological differential diagnosis of PE is broad and includes papular acne scars, eruptive collagenoma, disseminated lenticular dermatofibrosis (as a component of Buschke–Ollendorff syndrome), white fibrous papulosis of the neck, pseudoxanthoma elasticum, pseudoxanthoma elasticum-like papillary dermal elastolysis, middermal elastolysis, and perifollicular elastolysis. Treatment of PE is a matter of debate and no reliable curative option exists. Keywords: papular elastorrhexis, elastic fibers, connective tissuehttps://www.dovepress.com/papular-elastorrhexis-clinical-perspectives-peer-reviewed-article-CCIDPapular elastorrhexiselastic fibersconnective tissue
spellingShingle Sezer E
Durmaz EÖ
Şahin S
Papular elastorrhexis: clinical perspectives
Clinical, Cosmetic and Investigational Dermatology
Papular elastorrhexis
elastic fibers
connective tissue
title Papular elastorrhexis: clinical perspectives
title_full Papular elastorrhexis: clinical perspectives
title_fullStr Papular elastorrhexis: clinical perspectives
title_full_unstemmed Papular elastorrhexis: clinical perspectives
title_short Papular elastorrhexis: clinical perspectives
title_sort papular elastorrhexis clinical perspectives
topic Papular elastorrhexis
elastic fibers
connective tissue
url https://www.dovepress.com/papular-elastorrhexis-clinical-perspectives-peer-reviewed-article-CCID
work_keys_str_mv AT sezere papularelastorrhexisclinicalperspectives
AT durmazeo papularelastorrhexisclinicalperspectives
AT sahins papularelastorrhexisclinicalperspectives