CUTIS LAXA

By Gary M. White, MD


Cutis laxa (CL) is a disorder in which the skin is lacking its normal elasticity. CL implies a more diffuse involvement of the skin whereas anetoderma implies localized loss of elasticity.

Clinical

Diffuse wrinkling of the skin is seen. The skin lacks its usually elasticity. The acquired type beginning in adulthood often begins insidiously with progressive development of lax skin beginning on the face and spreading downward. An urticarial or papulovesicular eruption may precede or accompany the changes. The patient may take on a premature aged appearance.

Workup

A lengthy workup may be necessary to exclude genetic, drug, inflammatory skin disease or other causes.

Treatment

Plastic surgery may be done if indicated.

References

A woman, before at age 22, and after at age 26. Dermatology Online Journal 21;7

Loose sagging folds over the face in a 44-year-old woman. Indian J Dermatol Venereol Leprol 2014;80:454-6

Congenital

Three-year-old with congenital cutis laxa from a gene defect in the elastin gene. Pediatr Dermatol. 2014 May-Jun;31(3):347-9

Acquired

30-year-old woman with acquired cutis laxa of the abdomen--before and after surgery. Dermatol Res Pract. 2010; 2010: 402093

A 55-year-old woman with a ten-year history of loosening of her skin. Dermatology Online Journal 17(7)

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