Disseminate elastosis perforans serpiginosa (EPS) was found in a healthy white man without Down syndrome (mongolism) or pseudoxanthoma elasticum (PXE). No other connective tissue disease was found. We have found no similar cases in our review of the literature.
Steven D. Pedro, Raymond L. Garcia. Disseminate Elastosis Perforans Serpiginosa. Arch Dermatol. 1974;109(1):84–85. doi:10.1001/archderm.1974.01630010060015