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Elastosis Perforans Serpiginosa - Symptoms & Treatment


Elastosis perforans serpiginosa is a unique perforating disorder characterized by transepidermal elimination of elastic fibers and distinctive clinical wounds, which are serpiginous in distribution and can be related with particular diseases. It is more general in males than females. Elastosis perforans serpiginosa presents as a group of little reddish bumps 2-5 mm in diameter, often grouped in linear, spherical other serpiginous patterns. Each lesion may have a central pit, which is sometimes filled by a gruff or scaly plug. When a person has elastosis perforans serpiginosa, the outer layer of the skin perceives unusual elastic tissue to be a alien object. When the elastic tissue is perceived as unusual object, inflammation occurs. Primary lesions are eruptive, dome-shaped, finally umbilicated papules, measuring some to some millimeters in diameter.

The initially recognizable description of elastosis perforans serpiginosa was provided by Fischer in 1927 but was offered as an instance of Kyrle illness. Elastosis perforans serpiginosa can be distinguished morphologically moreover histologically from new cutaneous illness.

There are three types of Elastosis Perforans Serpiginosa :-

  1. Idiopathic EPS
  2. Reactive EPS
  3. Drug-induced EPS

Causes of Elastosis Perforans Serpiginosa

Some causes & risk factors of Elastosis Perforans Serpiginosa are as follows:

  • Inherited disorders
  • Pharmacologic effect
  • Genetic abnormalities
  • Side effect of medications

Symptoms of Elastosis Perforans Serpiginosa

Some sign and symptoms related to Elastosis Perforans Serpiginosa are as follows:

  • Itchy
  • Cluster of small reddish bumps
  • Koebner phenomenon
  • Rash

Elastosis Perforans Serpiginosa Treatment

The treatment choice will depend on the cause and sternness of the situation. Destructive techniques appear to do more injury than good, often resulting in scarring worse than that expected from spontaneous curative. Freezing with liquid nitrogen may have assisted several patients. Treatment with flashlight pulsed dye laser has appeared to be advantageous in case of Elastosis perforans serpiginosa in a patient with Down syndrome.

  • Freezing technique is useful in which liquid nitrogen is used.
  • It is treated with D-penicillamine.
  • Surgical-Treatment with laser technique with some idiopathic EPS.
  • Imiquimod-Apply thin layer on the affected area for 6 weeks.
  • There are some surgical methods available like flashlight pulsed dye laser.

 

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