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December 1960

Elastosis Perforans Serpiginosa: Report of a Case

Author Affiliations

Galveston, Texas; Austin, Texas

Clinical Professor of Dermatology, University of Texas Medical Branch, Galveston (Dr. Ritchie); Assistant Clinical Professor of Dermatology, Baylor University Post Graduate School of Medicine (Dr. McCuistion).

Arch Dermatol. 1960;82(6):976-979. doi:10.1001/archderm.1960.01580060132021

The recent description of perforating elastosis by Hitch and Lund1 has clarified a diagnostic problem of long standing. The following is a brief report of a case of elastosis perforans serpiginosa of 14 years' duration.

Report of Case  A white woman, age 22 years, a mongoloid, was first seen at the age of 8 years presenting a peculiar, nonpruritic ringed, papular eruption over the extensors of the arms, forearms, and lower extremities. Repeated mycologic studies were negative, but owing to the general resemblance of the eruption to tinea infection, it was treated as such by painting the lesions with tincture of iodine and spraying them with ethyl chloride. The patient was followed and treated in this manner from 1946 through 1949 with some success. She was seen by another dermatologist in 1950, and repeated mycology studies were negative (Fig. 1). A biopsy was done, and sections were submitted to

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