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126 A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1<br />

Blepharochalasis (Fuchs syndrome) Hautarzt 29:474–477, 1978<br />

Cutis laxa Ped Derm 19:412–414, 2002; JAAD 29:846–848,<br />

1993, Ped Derm 2:282–288, 1985<br />

Inherited (dermatochalasis connata)<br />

Autosomal dominant Clin Genet 39:321–329, 1991<br />

Autosomal recessive<br />

X-linked dominant (occipital horn syndrome (formerly<br />

Ehlers–Danlos syndrome type IX)<br />

Transient neonatal<br />

Acquired – associated with:<br />

Type 1 – generalized acquired elastolysis<br />

Complement deficiency AD 123:1211–1216, 1987<br />

Drug hypersensitivity<br />

Inflammatory skin disease<br />

Klippel–Trenaunay–Weber syndrome<br />

Malignancy<br />

Multiple myeloma Cutis 57:267–270, 1996;<br />

Am J Dermatopathol 18:533–537, 1996<br />

Penicillamine dermatopathy AD 125:92–97, 1989<br />

Sarcoid JAAD 29:846–848, 1993<br />

Systemic lupus erythematosus<br />

Syphilis<br />

Type 2 – Marshall’s syndrome – Sweet’s syndrome followed<br />

by cutis laxa AD 131:1175–1177, 1995<br />

Acrolocalized acquired cutis laxa BJD 134:973–976,<br />

1996; JAAD 21:33–40, 1989<br />

Elastoderma – localized skin laxity of the neck, trunk or arm<br />

JAAD 53:S147–149, 2005; JAAD 33:389–392, 1995<br />

Elastolysis of the earlobes JAAD 14:145–146, 1986<br />

Elastosis perforans serpiginosa with pseudoxanthoma<br />

elasticum-like changes in Moya-Moya disease (bilateral stenosis<br />

and occlusion of basa intracranial vessels and carotid arteries)<br />

BJD 153:431–434, 2005<br />

Lichen myxedematosus Cutis 39:219–223, 1987<br />

Multiple benign ring-shaped skin creases Eur J Ped<br />

138:301–3,1982<br />

Pseudoxanthoma elasticum – linear and reticulated yellow<br />

papules and plaques JAAD 42:324–328, 2000; JAAD<br />

43:337–339, 2000; Dermatology 199:3–7, 1999; AD<br />

133:664–666, 1997; AD 124:1559, 1988; acquired<br />

pseudoxanthoma elasticum – farmers exposed to saltpeter<br />

(calcium-ammonium-nitrate salts); antecubital fossa JAAD<br />

51:1–21, 2004; Acta DV 78:153–154, 1998; Acta DV<br />

58:319–321, 1978; periumbilical perforating pseudoxanthoma<br />

elasticum JAAD 51:1–21, 2004; JAAD 26:642–644, 1992;<br />

AD 115:300–303, 1979<br />

SYNDROMES<br />

Ablepharon macrostomia syndrome with cutis laxa Hum Genet<br />

97:532–536, 1996<br />

Acrogeria of the Gottron type Eur J Dermatol 10:36–40, 2000<br />

Alagille syndrome – cutis laxa-like changes with resolution of<br />

xanthomas after liver transplantation Ped Derm 15:199–202, 1998<br />

Ankyloblepharon–ectrodactyly–cleft lip/palate syndrome<br />

(AEC syndrome) – periorbital wrinkling<br />

Ascher syndrome Int J Derm 31:710–712, 1992<br />

Barber–Say syndrome – autosomal dominant; wrinkled lax,<br />

atrophic skin, hypertrichosis of back and neck, eyebrows,<br />

eyelashes, lower lid ectropion, large mouth, and abnormal<br />

external ears, hypoplastic or absent nipples, growth retardation<br />

Am J Med Genet 86:54–56, 1999<br />

Beare–Stevenson cutis gyrata syndrome – redundant loose<br />

facial skin<br />

Cantu syndrome<br />

Chromosome 6q deletion syndrome – cutaneous and joint laxity<br />

Ped Derm 11:281–282, 1994<br />

Coffin–Lowry syndrome – X-linked inheritance; straight coarse<br />

hair, prominent forehead, prominent supraorbital ridges,<br />

hypertelorism, large nose with broad base, thick lips with mouth<br />

held open, large hands, tapering fingers, severe mental<br />

retardation; loose skin easily stretched, cutis marmorata,<br />

dependent acrocyanosis, varicose veins Clin Genet<br />

34:230–245, 1988; Am J Dis Child 112:205–213, 1966<br />

Costello syndrome – loose skin of neck, hands and feet;<br />

papillomas around nose and mouth J Med Genet<br />

31:486–489, 1994<br />

Cutis laxa – autosomal dominant; mild disease of late onset;<br />

mutation in elastin gene AD 140:1135–1139, 2004; Ped Derm<br />

21:167–170, 2004; Clin Genet 39:321–329, 1991<br />

Cutis laxa type I – autosomal recessive; diaphragmatic hernia,<br />

gastrointestinal and genitourinary diverticulae, pulmonary<br />

emphysema, cardiac abnormalities Ped Derm 21:167–170, 2004<br />

Cutis laxa type II – autosomal recessive; pre and postnatal<br />

growth retardation, delayed motor development, delayed closure<br />

of large fontanelle, congenital hip dislocation, bone dysplasias,<br />

parallel strips of redundant skin of back Ped Derm 21:167–170,<br />

2004<br />

Cutis laxa type III – autosomal recessive; severe mental<br />

retardation, corneal clouding Ped Derm 21:167–170, 2004<br />

Cutis laxa – X-linked recessive (occipital horn syndrome;<br />

formerly Ehlers–Danlos type IX) – lysyl oxidase deficiency,<br />

skeletal dysplasias, joint hypermobility, chronic diarrhea,<br />

obstructive uropathy Ped Derm 21:167–170, 2004<br />

Cutis laxa, congenital with ligamentous laxity, delayed<br />

development, Dandy–Walker malformation, minor heart and<br />

osseous defects Clin Genet 45:318–322, 1994<br />

Cutis laxa with bone dystrophy (osteoporosis) Am J Dis Child<br />

137:452–454, 1983<br />

Cutis laxa, craniofacial defects, and hypotonia J Clin<br />

Dysmorphol 1:24–25, 1983<br />

Cutis laxa with early-onset emphysema Thorax 49:836–837,<br />

1994<br />

Cutis laxa, late closure of fontanels, intrauterine growth<br />

retardation, hyperlaxity of joints Pediatrics 72:850–856, 1983<br />

DeBarsy syndrome – autosomal recessive progeroid syndrome;<br />

lax wrinkled skin; cloudy corneas, mental retardation,<br />

pseudoathetoid movements, synophrys, pinched nose, thin skin,<br />

lack of subcutaneous tissue, sparse hair Ped Derm 19:412–414,<br />

2002; Eur J Pediatr 144:348–354, 1985<br />

Duplication of the eyebrows, stretchable skin and syndactyly<br />

Dwarfism–alopecia–pseudoanodontia–cutis laxa<br />

Edward’s syndrome (trisomy 18) – cutis laxa of neck,<br />

hypertrichosis of the forehead and back, hemangiomas J Med<br />

Genet 15:48–60, 1978<br />

Ehlers–Danlos syndrome – scarring; cutis laxa complicating<br />

Ehlers–Danlos syndrome type II Clin Exp Derm 21 (2):<br />

135–137, 1996; Ehlers–Danlos syndrome type IX – X-linked<br />

Elejalde syndrome (acrocephalopolydactylous dysplasia) Birth<br />

Defects 13:53–67, 1977<br />

Gerodermia osteodysplastica (Bamatter syndrome)<br />

(osteodysplastic geroderma) – short stature, cutis laxa-like<br />

changes with drooping eyelids and jowls (characteristic facies),<br />

osteoporosis and skeletal abnormalities; lax skin and joints,<br />

growth retardation Am J Med Genet 3:389–395, 1979; Hum<br />

Genet 40:311–324, 1978<br />

Hemolytic anemia with emphysema and cutis laxa<br />

Hereditary gelsolin amyloidosis (AGel amyloidosis) – cutis laxa,<br />

corneal lattice dystrophy, cranial and peripheral polyneuropathy<br />

BJD 152:250–257, 2005

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