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   Abstract
   Introduction
   Case Report
   Discussion
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CASE REPORT
Year : 1999  |  Volume : 65  |  Issue : 2  |  Page : 77-78

Post febrile acquired cutis laxa




Correspondence Address:
R Muthukumaran


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  Abstract 

Acquired cutis laxa following enteric fever has been described in a male in the neck region. Biopsy revealed fragmented elastic fibres in the dermis which were better visualised with special stain for elastic tissue. This case is reported for rarity of its occurrence at the localised site following febrile illness.


Keywords: Cutis laxa, Enteric fever, neck


How to cite this article:
Muthukumaran R, Nirmaladevi G, Sentamilselvi G, Ja. Post febrile acquired cutis laxa. Indian J Dermatol Venereol Leprol 1999;65:77-8

How to cite this URL:
Muthukumaran R, Nirmaladevi G, Sentamilselvi G, Ja. Post febrile acquired cutis laxa. Indian J Dermatol Venereol Leprol [serial online] 1999 [cited 2019 Sep 21];65:77-8. Available from: http://www.ijdvl.com/text.asp?1999/65/2/77/4766



  Introduction Top


Cutis laxa is a loose redundant skin condition which may be congenital or acquired and generalised or localised. A localised cutis laxa in the neck region is being described here, with its classical clinical and histological features.


  Case Report Top


A 17-year-old boy, presented with 2 months history of loose, redundant skin over anterior aspect of cervical region. Prior to the onset of the disease, patient was treated for enteric fever.

His general and systemic examination did not reveal any abnormality. Dermatological examination showed hyperpigmented, redundant skin area which showed hyperelasticity on stretching [Figure - 1] and recoiling on release. Hyperelasticity was observed mainly in the lower aspect of the front of the neck. His haematological and biochemical investigations were normal. Biopsy of the area showed fragmented elastic fibres in the derms in haematoxylin and eosion stain. Blackish fragmented elastic tissue was present on staining with Verhoeff. Van Giesons stain [Figure - 2]. We are planning for the plastic repair of the redundant skin.


  Discussion Top


Cutis laxa can be hereditary or acquired. The hereditary cutis laxa may present as blepharochalasis. Acquired generalised cutis laxa has been encountered following febrile illness, urticaria or angioedema, extensive inflammatory skin disease such as systemic lupus erythematosus, erythema multiforme, insect bite, penicillin and penicillamine therapy.[1] Acquired localised cutis laxa due to trivial trauma has also been reported involving a localised site (neck) following enteric fever. The cause for the cutis laxa in our case remains obscure, however a probable subclinical inflammation produced by the enterotoxin liberated by the  Salmonella More Details spp. could be responsible of the elastorrhexis, although no possible explanation could be offered for the predilection of the site[2].

 
  References Top

1.Burton J L. Disorders of connective tissue. In: Rook A Wilkinson DS, Ebling, FJG. Textbook of Dermatology, Ed.5, Champion RH, Burton JL, Ebling FJG. Blackwell Scientific Publication, London, Boston Edinburg, 1992;1763-1825.  Back to cited text no. 1    
2.Martin L, Requena L, Yub ES, et al. Acrolocalized acquired cutis laxa. Br J Dermatol 1996;134:973-976.  Back to cited text no. 2    


    Figures

[Figure - 1], [Figure - 2]



 

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Online since 15th March '04
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