Elastic nevus D23.L

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

anelastic nevus; Elastoma; Elastomer; Nevus elasticus of Lewandowsky

History
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Lewandowsky, 1921; Weidman et al., 1933

Definition
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Acquired (more rarely) or congenital (more frequently), mostly disseminated, elastic connective tissue nevus (elastoma) with proliferation of elastic, rarely collagen fibres. Primarily described by Weidmann et al. as a disseminated form in children (= elastoma juvenile), the elastic nevus can also occur in isolation in older adults (adult-onset elastoma), whereby actinic damage (UV damage) is discussed as the cause.

Manifestation
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Occurs from birth or in the first years of life, less frequently in late adulthood.

Localization
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Mostly multiple, especially the upper thorax area as well as the face and abdomen are affected.

Clinical features
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Densely packed, 0.2-0.4 cm large, whitish yellowish papules or flat, larger plaques.

Histology
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Partial hyperpigmentation of the stratum basale, strong repair of the elastic fibres. In the upper and middle corium fragmented, disordered elastotic material. No significant change in the collagenous fibre architecture.

Therapy
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A therapy for the disease is not known. Excision for cosmetically disturbing localization.

Note(s)
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In the meantime, the name Naevus anelasticus has become generally accepted because, contrary to earlier assumptions, no reproduction of the elastic fibres has taken place.

The disseminated nodular form (Dermatofibrosis lenticularis disseminata) can occur in families and be associated with osteopoietic disease ( Buschke-Ollendorf syndrome).

Literature
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  1. Lewandowsky F (1921) About a peculiar nevus of the chest region. Arch derm syph 131: 90-94
  2. Lewis GK et al (2004) Aquired disorders of elastic tissue: Part I. Increased elastic tissue and solar elastotic syndromes. JAAD 51: 1-21
  3. Schön B et al (1991) Naevus elasticus at the capillitium. Dt Dermatol 39: 1566-1568
  4. Weidman FD, Anderson NP, Ayers S jr (1933) Juvenile elastoma. Arch Derm Syph 28: 182-189

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Last updated on: 29.10.2020