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Jacquin-Porretaz C, Aubin F, Vibratte F, Valmary S, Petitjean A, Algros MP, Puzenat E. [Pseudoxanthoma elasticum-like papillary dermal elastolysis: A case report]. Ann Dermatol Venereol 2019; 147:194-197. [PMID: 31839274 DOI: 10.1016/j.annder.2019.09.609] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 03/20/2019] [Accepted: 09/05/2019] [Indexed: 11/25/2022]
Abstract
BACKGROUND Pseudoxanthoma elasticum-like papillary dermal elastolysis (PXE-PDE) is a rare disease clinically resembling pseudoxanthoma elasticum (PXE). Herein we report a typical case. PATIENTS AND METHODS A 77-year-old woman consulted for an acquired papular eruption present for 4 years. Her history included breast cancer, which was considered to be in remission. The eruption had begun on the right armpit before extending to the right side of the chest, left armpit, neck and right inguinal fold. It was completely asymptomatic. It consisted of non-follicular flabby, skin-colored papules, without anetoderma. Histological examination with hematoxylin-eosin and orcein staining revealed papillary and mid-dermal elastolysis without elastorrhexis. Based on the clinical aspect of PXE as well as histologically demonstrated elastolysis, a diagnosis of PXE-PDE was made. DISCUSSION PXE-PDE is a rare acquired entity that affects only women, usually after the age of 60 years. Although it is clinically similar to PXE, PXE-PDE may be differentiated through its late onset, the absence of systemic symptoms, and the attendant histological features. Dermoscopy may also contribute to differential diagnosis. Histological examination allows confirmation of the diagnosis and shows normal elastic fibers that may be either missing or present in vastly reduced quantities in the papillary and mid-dermis. The physiopathology continues to be unclear, but may involve skin aging, elastogenesis abnormalities and UV exposure. To date, no treatment has demonstrated its efficiency. CONCLUSION PXE-PDE is a rare condition, but it displays typical histological and clinical features. Knowledge of this entity avoids unnecessary explorations and enables rapid reassurance of patients.
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Affiliation(s)
- C Jacquin-Porretaz
- Service de dermatologie, CHRU Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France.
| | - F Aubin
- Service de dermatologie, CHRU Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France
| | - F Vibratte
- 23, rue de Vesoul, 25000 Besançon, France
| | - S Valmary
- Service d'anatomopathologie, CHRU Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France
| | - A Petitjean
- Besançon pathologie, 16, rue Paul-Milleret, 25000 Besançon, France
| | - M-P Algros
- Service d'anatomopathologie, CHRU Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France
| | - E Puzenat
- Service de dermatologie, CHRU Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France
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Ohto-Fujita E, Shimizu M, Sano S, Kurimoto M, Yamazawa K, Atomi T, Sakurai T, Murakami Y, Takami T, Murakami T, Yoshimura K, Hasebe Y, Atomi Y. Solubilized eggshell membrane supplies a type III collagen-rich elastic dermal papilla. Cell Tissue Res 2018; 376:123-135. [PMID: 30448901 DOI: 10.1007/s00441-018-2954-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Accepted: 10/27/2018] [Indexed: 12/19/2022]
Abstract
Signs of aging in facial skin correlate with lifespan and chronic disease; however, the health of aging skin has not been extensively studied. In healthy young skin, the dermis forms a type III collagen-rich dermal papilla, where capillary vessels supply oxygen and nutrients to basal epidermal cells. Chicken eggshell membranes (ESMs) have been used as traditional medicines to promote skin wound healing in Asian countries for many years. Previously, we designed an experimental system in which human dermal fibroblasts (HDFs) were cultured on a dish with a solubilized ESM (S-ESM) bound to an artificial phosphorylcholine polymer; we found that genes that promoted the health of the papillary dermis, such as those encoding type III collagen, were induced in the S-ESM environment. The present study found that a gel with a ratio of 20% type III/80% type I collagen, similar to that of the baby skin, resulted in a higher elasticity than 100% type I collagen (p < 0.05) and that HDFs in the gel showed high mitochondrial activity. Thus, we decided to perform further evaluations to identify the effects of S-ESM on gene expression in the skin of hairless mice and found a significant increase of type III collagen in S-ESM. Picrosirius Red staining showed that type III collagen significantly increased in the papillary dermis after S-ESM treatment. Moreover, S-ESM application significantly improved human arm elasticity and reduced facial wrinkles. ESMs may have applications in extending lifespan by reducing the loss of tissue elasticity through the increase of type III collagen.
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Affiliation(s)
- Eri Ohto-Fujita
- Material Health Science Laboratory, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Nakacho, Koganei-shi, Tokyo, 184-8588, Japan
| | - Miho Shimizu
- Material Health Science Laboratory, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Nakacho, Koganei-shi, Tokyo, 184-8588, Japan
| | - Shoei Sano
- Material Health Science Laboratory, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Nakacho, Koganei-shi, Tokyo, 184-8588, Japan
| | - Masashi Kurimoto
- Material Health Science Laboratory, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Nakacho, Koganei-shi, Tokyo, 184-8588, Japan
| | - Kai Yamazawa
- Material Health Science Laboratory, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Nakacho, Koganei-shi, Tokyo, 184-8588, Japan
| | - Tomoaki Atomi
- Faculty of Health Sciences, Department of Physical Therapy, Kyorin University, 5-4-1 Shimorenjaku, Mitaka-shi, Tokyo, 181-8612, Japan
| | - Takashi Sakurai
- Department of Life Sciences, The Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1, Komaba, Meguro-ku, Tokyo, 153-8902, Japan.,Astellas Institute for Regenerative Medicine, 33 Locke Drive, Marlborough, MA, 01752, USA
| | - Yoshihiko Murakami
- Department of Organic and Polymer Materials Chemistry, Faculty of Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Nakacho, Koganei-shi, Tokyo, 184-8588, Japan
| | - Taku Takami
- Department of Organic and Polymer Materials Chemistry, Faculty of Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Nakacho, Koganei-shi, Tokyo, 184-8588, Japan
| | - Tomoaki Murakami
- Laboratory of Veterinary Toxicology, Cooperative Department of Veterinary Medicine, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu-shi, Tokyo, 183-8509, Japan
| | - Kotaro Yoshimura
- Department of Plastic Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi-ken, 329-0498, Japan
| | - Yukio Hasebe
- Almado Inc., 3-6-18 Kyobashi, Chuo-ku, Tokyo, 104-0031, Japan
| | - Yoriko Atomi
- Material Health Science Laboratory, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Nakacho, Koganei-shi, Tokyo, 184-8588, Japan.
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