ABSTRACT: A 23-year-old man presented with a diffuse and fine wrinkling of the skin of his back and trunk. Skin lesions had first appeared about 5 years earlier and resulted from coalescing of multiple, flat, pirkish-red papules, a few millimeters in diameter. A diagnosis of widespread cutaneous elastic hamartoma was made.
Histology revealed a focal disappearance of elastic fibers within circumscribed areas of the dermis. The pattern of the dermal collagen and reticulin was normal. No concomitant changes in the bone density were recognized by x-ray, excluding the Buschke-Ollendorff syndrome. Therefore, we call this case “disseminated nevus anelasticus.”