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A case of elastosis perforans serpiginosa
Jashin J Wu1, Annette M Wagner
1Department of Pediatrics and Dermatology, Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois 60614, USA.
Cutis
|June 25, 2002
Summary
A rare pediatric case of elastosis perforans serpiginosa (EPS) was identified in a 17-year-old boy. This condition, characterized by annular plaques, typically occurs in adults, making this a unique presentation.
Area of Science:
- Dermatology
- Pediatric Medicine
- Histopathology
Background:
- Elastosis perforans serpiginosa (EPS) is a rare connective tissue disorder characterized by the extrusion of abnormal elastic tissue through the epidermis.
- While typically seen in adults, EPS can occasionally manifest in pediatric patients, often associated with underlying systemic conditions.
Observation:
- A 17-year-old male presented with asymptomatic, flat-topped annular plaques exhibiting mild central atrophy on the neck.
- The patient had no prior history of connective tissue disorders or other significant comorbidities.
Findings:
- Histopathological examination of the skin lesions revealed characteristic features of elastosis perforans serpiginosa (EPS).
- The findings confirmed the diagnosis of idiopathic EPS, a rare occurrence in the pediatric population.
Implications:
- This case highlights the importance of considering EPS in the differential diagnosis of pediatric dermatological conditions, even in the absence of typical risk factors.
- Further research into the idiopathic forms of EPS in children may elucidate underlying pathomechanisms and inform management strategies.
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