Unilateral Facial Actinic Elastotic Plaque‐a New Clinical Variant of Actinic Elastosis

Abstract

The case is reported of an 82-year old woman with a four month history of an erythematous indurated plaque on the left cheek. Light and electron microscopy demonstrated the presence of solar elastosis alone. We believe that this is a new clinical variant of solar elastosis. The spectrum of cutaneous actinic damage is reviewed.

Elastosis linearis rubra nasi: A new clinical entity in the spectrum of localized nodular elastosis

“…Our case has nodular solar elastosis with some features similar to a single case report of ''unilateral facial actinic elastotic plaque'' [8] that has been described in a 82-year-old Caucasian woman in Australia who presented with an ill defined tumor-like indurated plaque on the left cheek with prominent erythema which worsened on palpation of the lesion and which showed nodular elastotic material in the dermis without any deposition of amyloid or colloid material. While there was significant solar damage to the entire face evidenced by marked wrinkling, pigmentary changes and a sallow appearance, the plaque showed elastotic damage which exceeded that seen in the surrounding skin.…”

“…Unilateral facial actinic elastotic plaque [8] Cheek Erythematous indurated plaque have a similar pathophysiology. The events leading to elastosis are likely to be caused by lysosomal labilizers like ultraviolet and infrared radiation with release of lysosomal enzymes that damage collagen of the dermis leading to accumulation of altered elastotic tissue.…”

“…These ''nodular elastotic conditions'' have been described under various names [ Table 1]. [2][3][4][5][6][7][8] We describe a case of nodular solar elastosis with a clinical presentation that does not appear to have been described previously. We suggest the term elastosis linearis rubra nasi to describe it.…”

Unilateral facial actinic elastotic plaque: A distinct but underreported manifestation of solar elastosis

“…1 Among them lies unilateral facial actinic elastotic plaque (UFAEP), a lesser-known entity. 1,2 Here, we present two cases of this probably underreported dermatoheliosis variant.…”