Papular Elastorrhexis in Childhood Improved by Intralesional Injections of Triamcinolone

Abstract

Papular elastorrhexis is a rare disease developing asymptomatic skin-colored small papules in adolescence with histopathological loss of elastic fibers. There has been no established treatment for this disease. A 4-year-old Korean boy had multiple, hard, whitish papules on his chest and back for one year. Histopathologic examination revealed focal loss of elastic fibers in the dermis, and X-ray examination showed no bony abnormalities. His skin lesions were improved by intralesional injections of triamcinolone but recurred after four months.

A Case of Eruptive Collagenoma on the Left Calf

“…No specific treatment is given in most cases 11 . Two cases of eruptive collagenomas were reported to be treated with intralesional steroids with transient flattening of the lesions 7,9 . Transient but exaggerated dermal atrophy after intralesional steroid injections may have resulted from the absence of elastic fibers in this disorder 9 .…”

“…Two cases of eruptive collagenomas were reported to be treated with intralesional steroids with transient flattening of the lesions 7,9 . Transient but exaggerated dermal atrophy after intralesional steroid injections may have resulted from the absence of elastic fibers in this disorder 9 . Clinically, our patient's lesion could have been confused with sebaceus hyperplasia, xanthoma and collagen disorder.…”

“…Our case has a different characteristic from the previously reported cases. Nine cases 4,9,[11][12][13][14][15][16][17] , in the English literature and two cases 18,19 in Korean literature have been reported to date. Most patients developed eruptive collagenoma mainly on the trunk, abdomen and upper extremities, whereas one patient developed lesions localized on the left back 16 .…”

“…Nevus anelasticus and papular elastorrhexis show histologically focal area of decreased and fragmented elastic fibers 6 and most cases are sporadic but some familiar occurrence has been described 3 . Some authors have mentioned these three entities represent a single disease or disease spectrum because of similar clinical and histopathologic features [7][8][9] . They also have common features in terms of peak age of onset, distribution of lesion involving the trunk and upper extremities, and a lack of history of trauma, inflammation, family history, or extracutaneous manifestations 7 .…”

A Case of Papular Elastorrhexis

“…To the best of our knowledge, there have been only 18 reported cases of papular elastorrhexis in literature [2][3][4][5][6][7][8][9][10] . Herein, we report a case of 20-yearold-Korean woman who had asymptomatic multiple, discrete, firm, palpable white papules on the anterior chest for several months; We also include a brief literature review.…”