Elastosis perforans serpiginosa

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Elastosis perforans serpiginosa
File:Elastosis perforans serpiginosa.jpg
Elastosis perforans serpiginosa
Synonyms EPS
Pronounce N/A
Specialty Dermatology
Symptoms Papules, hyperkeratosis, pruritus
Complications Scarring
Onset Typically in adolescence or early adulthood
Duration Chronic
Types N/A
Causes Unknown, associated with genetic disorders
Risks Down syndrome, Ehlers-Danlos syndrome, Marfan syndrome
Diagnosis Clinical diagnosis, skin biopsy
Differential diagnosis Kyrle disease, reactive perforating collagenosis, perforating folliculitis
Prevention N/A
Treatment Topical retinoids, cryotherapy, laser therapy
Medication N/A
Prognosis Variable, often chronic
Frequency Rare
Deaths N/A


Elastosis perforans serpiginosa (EPS) is a rare skin condition characterized by the elimination of abnormal elastic fibers through the skin. It is classified as a primary perforating dermatosis. That is, a condition where there is transepidermal elimination of dermal material. The condition is often associated with D-penicillamine therapy, Down syndrome, and Ehlers-Danlos syndrome.

Etiology[edit]

The exact cause of EPS is unknown. However, it is often associated with certain conditions and medications. These include:

Symptoms[edit]

The symptoms of EPS include:

  • Red or skin-colored bumps
  • Lesions that form a winding pattern
  • Itching

Diagnosis[edit]

Diagnosis of EPS is primarily based on the clinical appearance of the skin lesions. A skin biopsy may be performed to confirm the diagnosis.

Treatment[edit]

Treatment options for EPS include:

  • Topical retinoids
  • Cryotherapy
  • Laser therapy

Elastosis_perforans_serpiginosa images[edit]

See also[edit]

References[edit]