© 2004 Fellowship of Postgraduate Medicine
IMAGES IN MEDICINE
Pseudoxanthoma elasticum
Department of Dermatology, Venereology and Leprology, BLDEA’s SBMP Medical College, Hospital and Research Centre, Bijapur 586103, Karnataka, India; Aparuna1@rediffmail.com
Keywords: pseudoxanthoma elasticum; elastorrhexis; angioid streaks
| The first 150 words of the full text of this article appear below. |
A 50 year old woman with progressive dimness of vision was referred by ophthalmologists for evaluation of her skin lesions. She had asymptomatic, yellowish, papular lesions on the sides and front of her neck, axillae, and periumbilical region. The lesions had been present since puberty and non-progressive for the past several years. She was hypertensive on irregular treatment. She had two uneventful pregnancies and the children were normal. Her mother and elder sister had similar skin lesions of long duration.
On examination, her peripheral pulses were normal. Supine blood pressure was 150/100 mm Hg. The skin in the involved areas was lax and redundant with yellowish, waxy, papular lesions giving rise to a cobblestone appearance (fig 1
). The inner aspect of her lips and buccal mucosa showed a yellowish pebbled surface. Ophthalmoscopy revealed bilateral choroiditis. With the above features, a clinical diagnosis of pseudoxanthoma elasticum was made. A skin
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