title: Pseudoxanthoma elasticum.
abstract: A 55-year-old man with progressive loss of vision was referred for dermatology consultation for the evaluation of his skin lesions. The cutaneous examination of the patient revealed multiple small yellow papules, coalescing into plaques, on his neck, axillae and periumbilical regions. He also had redundant skin folds on the axillae. His peripheral pulses and blood pressure were normal. Angioid streaks were found in the ocular fundi. A skin biopsy specimen of the papule showed fragmentation of elastic fibers as well as calcification in the dermis. Given the clinical manifestations and the histopathologic findings, the patient's illness was diagnosed as pseudoxanthoma elasticum. The patient was then sent to undergo a thorough cardiovascular evaluation.
authors.affiliation: Universidade Federal Fluminense, Hospital Universitário Antônio Pedro - Serviço de Dermatologia, Niterói, Rio de Janeiro, Brazil. angelapuccini@bol.com.br
authors.forename: Angela Puccini
authors.initials: AP
authors.lastname: Moreira
authors.forename: Flávia Sousa
authors.initials: FS
authors.lastname: Feijó
authors.forename: Jane Marcy Neffá
authors.initials: JM
authors.lastname: Pinto
authors.forename: Isabella Loureiro
authors.initials: IL
authors.lastname: Martinelli
authors.forename: Mayra Carrijo
authors.initials: MC
authors.lastname: Rochael
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D011561:Pseudoxanthoma Elasticum / Q000473:pathology