Linear focal elastosis

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Linear focal elastosis
Other namesLinear focal dermal elastosis, Elastotic striae
Linear focal elastosis new image.jpg
Specialty Dermatology

Linear focal elastosis or elastotic striae is a skin condition that presents with asymptomatic, palpable or atrophic, yellow lines of the middle and lower back, thighs, arms and breasts. [1]

Contents

Signs and symptoms

Linear focal elastosis manifests as hypertrophic linear yellow to red plaques that are asymptomatic and typically discovered by accident in the absence of a traumatic past. Though it usually affects the lower and middle back symmetrically, it can also affect the legs or face. [2]

Causes

Although the exact origin of linear focal elastosis is unknown, changes to elastic tissues are implicated. [2]

Diagnosis

According to histopathology, there may be more localized wavy fibers in the dermis, which are visible when elastic staining separates normal from hypertrophic collagen bundles. [3] There may be fragmentation or aggregation of the elastic fibers in the deep and upper dermis. [2] Fragmented elastic tissue, microfibrillar or granular constituents, and aggregated elastin are visible under an electron microscope. [4]

See also

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References

  1. James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. Page 517. ISBN   0-7216-2921-0.
  2. 1 2 3 Jeong, Jin Seob; Lee, Ji Yeoun; Kim, Mi Kyeong; Yoon, Tae Young (2011). "Linear Focal Elastosis Following Striae Distensae: Further Evidence of Keloidal Repair Process in the Pathogenesis of Linear Focal Elastosis". Annals of Dermatology. Korean Dermatological Association and The Korean Society for Investigative Dermatology. 23 (Suppl 2): S141. doi:10.5021/ad.2011.23.s2.s141. ISSN   1013-9087.
  3. Burket, John M.; Zelickson, Alvin S.; Padilla, R. Steven (1989). "Linear focal elastosis (elastotic striae)". Journal of the American Academy of Dermatology. Elsevier BV. 20 (4): 633–636. doi:10.1016/s0190-9622(89)70075-x. ISSN   0190-9622.
  4. Hagari, Yoshitaka (1991-09-01). "Linear Focal Elastosis: An Ultrastructural Study". Archives of Dermatology. 127 (9): 1365. doi:10.1001/archderm.1991.01680080101010. ISSN   0003-987X.
  5. Hosen, Mohammad J.; Lamoen, Anouck; De Paepe, Anne; Vanakker, Olivier M. (2012). "Histopathology of Pseudoxanthoma Elasticum and Related Disorders: Histological Hallmarks and Diagnostic Clues". Scientifica. 2012: 1–15. doi: 10.6064/2012/598262 . ISSN   2090-908X. PMC   3820553 . PMID   24278718.
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Further reading