Bullous solar elastosis

Solar elastosis (SE) is a well-recognized manifestation of chronic sun exposure, mainly affecting white patients. Well-established clinical manifestations of SE include Favre-Racouchot syndrome, cutis rhomboidalis nuchae, actinic comedonal plaques, elastomas, elastotic nodules of the ears, elastotic bands, collagenous plaques of the hands and colloid millia. Bullous SE is a very unusual presentation of SE, which consists clinically of tense bullae on chronically sun-damaged skin and is characterized histopathologically by a dermal cleft within a dermis with severe SE. Bullous SE is a rare but characteristic clinical expression of SE.