Papular acne scars. A common cutaneous finding

Wilson, B. B.

doi:10.1001/archderm.126.6.797

Cited by 21 publications

(27 citation statements)

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“…PDE and WFP differ from postinflammatory scars [28] which have a history of trauma or acne and different histo logic features, namely the laminated arrangement of colla gen and the altered vasculature [23].…”

Section: Discussionmentioning

confidence: 99%

Fibroelastolytic Patterns of Intrinsic Skin Aging: Pseudoxanthoma-elasticum-Like Papillary Dermal Elastolysis and White Fibrous Papulosis of the Neck

Rongioletti

Rebora²

1995

Dermatology

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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’.

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Section: Discussionmentioning

confidence: 99%

Fibroelastolytic Patterns of Intrinsic Skin Aging: Pseudoxanthoma-elasticum-Like Papillary Dermal Elastolysis and White Fibrous Papulosis of the Neck

Rongioletti

Rebora²

1995

Dermatology

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“…Due to the alterations in the elastic tissue the disease was termed naevus elasticus [4], Papular elastorrhexis occurs in adolescence and was first described by Bordas et al f 1]. It was reported to be a rare, nonfamilial disorder characterized by the appearance of asymptomatic, 1-to 3-mm, white, nonfollicuiar papules scattered over the trunk and extremities, often misdiag nosed as acne scars [2,15], Extracutaneous abnormalities were not described. So far three cases of papular elastor rhexis have been reported in the literature [1,2], Histologi cally there are degenerated and fragmented elastic fibers within the reticular dermis.…”

Section: Discussionmentioning

confidence: 99%

Papular Elastorrhexis: A Variant of Dermatofibrosis lenticularis disseminata (Buschke-Ollendorff Syndrome)?

Schirren¹,

Schirren²,

Stolz

et al. 1994

Dermatology

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Background: Buschke-Ollendorff syndrome is an autosomal dominant disorder clinically characterized by the appearance of disseminated white papules and osteopoikilosis. Histologically most cases show normal collagen and increased elastic tissue. Abortive forms of Buschke-Ollendorff syndrome are described, which show characteristic skin involvement, absence of skeletal changes and decreased elastic tissue. Papular elastorrhexis is characterized by nonfollicular, white papules, decreased elastic tissue, no genetic inheritance and no osteopoikilosis. Objective: Is papular elastorrhexis a new entity or an abortive form of Buschke-Ollendorff syndrome? Methods: We examined three members of one family (brother, sister and mother) presenting with nonfollicular, distributed, white papules on the trunk and extremities. Skin biopsies were examined by histological and electron-microscopic methods. Results: The histological and electron-microscopic examinations of skin biopsies showed decreased, fragmented elastic fibers and normal collagen. By X-ray examination, no osteopoikilosis was found. The family presented here supports a genetic background of the disease. Conclusion: The clinical appearance with the absence of osteopoikilosis and the histological findings of our cases suggest the diagnosis of papular elastorrhexis. Papular elastorrhexis however was reported to be nonfamilial. Because of the genetic background found here we believe that papular elastorrhexis is an abortive form of Buschke-Ollendorff syndrome. Summarizing our data and reviewing the literature, we suggest that connective tissue nevi with the most prominent alterations in the elastic tissue should be classified under the term elastic tissue nevi.

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“…However, the relation between PE and acne vulgaris is not obvious yet. We think that there may be a possible etiopathological relation between acne and PE because of our case who had a history of acne vulgaris and the data of Wilson et al [5]. Further studies are needed to explain this relation.…”

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confidence: 64%

“…They found that there was a statistically significant correlation between papules and a history of truncal acne. Histopathological examination of these papules showed changes consistent with perifollicular scars and these papular lesions were evaluated as post-acne papular scars by Wilson et al [5].…”

mentioning

confidence: 99%