Autosomal recessive cutis laxa type-1 with complex systemic manifestations

Cutis laxa (CL) is a rare connective tissue disorder characterized by loose, sagging, and redundant skin. Both inherited and acquired forms are known. A 7-year-old boy, presented with loose, sagging skin chiefly over the face, extremities, and skin folds since birth with recurrent respiratory and sy...

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Main Authors: Shruti Dhanraj Chavan, Ashish Ramchandra Deshmukh, Aniruddha Dharnidhar Gulanikar, Shilpa Satyajeet Pathrikar, Iqbal Mohammad Tariq
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Journal of Paediatric Dermatology
Subjects:
Online Access:http://www.ijpd.in/article.asp?issn=2319-7250;year=2018;volume=19;issue=3;spage=274;epage=276;aulast=Chavan
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author Shruti Dhanraj Chavan
Ashish Ramchandra Deshmukh
Aniruddha Dharnidhar Gulanikar
Shilpa Satyajeet Pathrikar
Iqbal Mohammad Tariq
author_facet Shruti Dhanraj Chavan
Ashish Ramchandra Deshmukh
Aniruddha Dharnidhar Gulanikar
Shilpa Satyajeet Pathrikar
Iqbal Mohammad Tariq
author_sort Shruti Dhanraj Chavan
collection DOAJ
description Cutis laxa (CL) is a rare connective tissue disorder characterized by loose, sagging, and redundant skin. Both inherited and acquired forms are known. A 7-year-old boy, presented with loose, sagging skin chiefly over the face, extremities, and skin folds since birth with recurrent respiratory and systemic complaints. The patient had a characteristic senile bloodhound appearance. Chest X-ray findings included emphysema, bronchopneumonia, and pulmonary hypertension. Ultrasonographic examination showed cystitis and bladder diverticula. Two-dimensional echocardiography showed primary pulmonary hypertension. Histopathological examination with Verhoeff-Van-Gieson stain showed markedly reduced elastic fibers. Serum amino acids, copper, and ceruloplasmin were normal. About sixty cases of autosomal recessive cutis laxa type 1 (ARCL-1) have been reported in literature. There is no definitive treatment available at present, and symptomatic management is the mainstay of treatment. Differential diagnosis includes Ehlers–Danlos syndrome, congenital disorders of glycosylation syndrome, and pseudoxanthoma elasticum. We report this case of ARCL-1 for its rarity and complex systemic involvement.
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spelling doaj.art-52bb7d6146904c1d9dcfa76d352372f12022-12-21T22:31:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Paediatric Dermatology2319-72502018-01-0119327427610.4103/ijpd.IJPD_65_17Autosomal recessive cutis laxa type-1 with complex systemic manifestationsShruti Dhanraj ChavanAshish Ramchandra DeshmukhAniruddha Dharnidhar GulanikarShilpa Satyajeet PathrikarIqbal Mohammad TariqCutis laxa (CL) is a rare connective tissue disorder characterized by loose, sagging, and redundant skin. Both inherited and acquired forms are known. A 7-year-old boy, presented with loose, sagging skin chiefly over the face, extremities, and skin folds since birth with recurrent respiratory and systemic complaints. The patient had a characteristic senile bloodhound appearance. Chest X-ray findings included emphysema, bronchopneumonia, and pulmonary hypertension. Ultrasonographic examination showed cystitis and bladder diverticula. Two-dimensional echocardiography showed primary pulmonary hypertension. Histopathological examination with Verhoeff-Van-Gieson stain showed markedly reduced elastic fibers. Serum amino acids, copper, and ceruloplasmin were normal. About sixty cases of autosomal recessive cutis laxa type 1 (ARCL-1) have been reported in literature. There is no definitive treatment available at present, and symptomatic management is the mainstay of treatment. Differential diagnosis includes Ehlers–Danlos syndrome, congenital disorders of glycosylation syndrome, and pseudoxanthoma elasticum. We report this case of ARCL-1 for its rarity and complex systemic involvement.http://www.ijpd.in/article.asp?issn=2319-7250;year=2018;volume=19;issue=3;spage=274;epage=276;aulast=ChavanAutosomal recessive cutis laxacutis laxagenodermatoses
spellingShingle Shruti Dhanraj Chavan
Ashish Ramchandra Deshmukh
Aniruddha Dharnidhar Gulanikar
Shilpa Satyajeet Pathrikar
Iqbal Mohammad Tariq
Autosomal recessive cutis laxa type-1 with complex systemic manifestations
Indian Journal of Paediatric Dermatology
Autosomal recessive cutis laxa
cutis laxa
genodermatoses
title Autosomal recessive cutis laxa type-1 with complex systemic manifestations
title_full Autosomal recessive cutis laxa type-1 with complex systemic manifestations
title_fullStr Autosomal recessive cutis laxa type-1 with complex systemic manifestations
title_full_unstemmed Autosomal recessive cutis laxa type-1 with complex systemic manifestations
title_short Autosomal recessive cutis laxa type-1 with complex systemic manifestations
title_sort autosomal recessive cutis laxa type 1 with complex systemic manifestations
topic Autosomal recessive cutis laxa
cutis laxa
genodermatoses
url http://www.ijpd.in/article.asp?issn=2319-7250;year=2018;volume=19;issue=3;spage=274;epage=276;aulast=Chavan
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AT aniruddhadharnidhargulanikar autosomalrecessivecutislaxatype1withcomplexsystemicmanifestations
AT shilpasatyajeetpathrikar autosomalrecessivecutislaxatype1withcomplexsystemicmanifestations
AT iqbalmohammadtariq autosomalrecessivecutislaxatype1withcomplexsystemicmanifestations