Fibroelastolytic patterns of intrinsic skin aging: Pseudoxanthoma- elasticum-like papillary dermal elastolysis and white fibrous papulosis of the neck

F. Rongioletti, A. Rebora

Research output: Contribution to journalArticle

Abstract

Background: Cutaneous aging is due to intrinsic and extrinsic factors. While the pathologic hallmark of extrinsic aging (photoaging) is solar elastosis, intrinsic aging lacks any specific feature. Only a progressive thinning and loss of the dermal elastic network occasionally associated with focal thickening of the collagen bundles may be observed. In contrast to the different clinical patterns of solar elastosis, only one distinctive disorder has been related so far to intrinsic aging: the temporary wrinkles. Objective: Pseudoxanthoma-elasticum-like papillary dermal elastolysis (PDE) and white fibrous papulosis of the neck (WFP) are further clinicopathologic patterns of intrinsic aging. Material and Methods: Review of the literature and clinical and histologic studies of patients of our files. Results: PDE and WFP share some peculiar clinical and histologic features, namely their occurrence in late adulthood and thinning or loss of the elastic fibers, mainly in the papillary dermis. Moreover, elastolysis in PDE and focal fibrosis in WFP, along with the abnormal elastic fibers, immature elastogenesis and activation of fibroblasts observed in PDE, are quite similar to the changes described in intrinsic aging. Conclusions: PDE and WFP along with temporary wrinkles and some cases of noninflammatory middermal elastolysis could be classified as ‘age-related fibroelastolytic syndromes’.

Original languageEnglish
Pages (from-to)19-24
Number of pages6
JournalDermatology
Volume191
Issue number1
DOIs
Publication statusPublished - 1995

Keywords

  • Elastolysis
  • Pseudoxanthoma elasticum
  • Skin aging
  • White fibrous papulosis

ASJC Scopus subject areas

  • Dermatology

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