[Skip to Content]
[Skip to Content Landing]
October 1977

Elastosis Perforans Serpiginosa

Author Affiliations

From the Department of Dermatology, Louisiana State University School of Medicine, New Orleans.

Arch Dermatol. 1977;113(10):1444-1445. doi:10.1001/archderm.1977.01640100122027

Elastosis perforans serpiginosa (EPS), a rare disease, has been associated with mongolism and several connective tissue disorders, including osteogenesis imperfecta, pseudoxanthoma elasticum, Marfan syndrome, and Ehlers-Danlos syndrome. The first description of EPS was made by Lutz in 1953.1 Two years later, Miescher2 presented a complete histopathologic study. The first cases of EPS in the United States were described by Hitch and Lund in 1959.3

To my knowledge, this is the third patient reported to have EPS coincident with osteogenesis imperfecta, which is a generalized disorder of connective tissue involving the fascia, ligaments, skin, sclera, tendons, inner ears, and bones, that typically results in the patient's having blue sclera and brittle bones.4

REPORT OF A CASE  A 17-year-old boy had had blue sclerae since infancy. As a child, he had had several fractures, and x-ray films taken on each occasion were consistent with the diagnosis of osteogenesis

First Page Preview View Large
First page PDF preview
First page PDF preview