PubMed · 8973042
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S Kumar, V Sehgal, R C Sharma. 1996. Cutis laxa.. https://doi.org/10.1111/j.1346-8138.1996.tb02690.x
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This brief report describes the use of transparent tape to modify the Hoskins lens for use in patients with dermatochalasis. The modification of the lens allows it to be used in these patients without the aid of an assistant.
A 55-year-old man presented with a 14-year history of loose, redundant skin on the palmar aspects of the finger tips and toe pulps, which gave a peculiar 'chewing gum' appearance. Skin biopsies of involved areas showed a normal appearance, and only a discrete decrease in the elastic fibres could be identified with an elastic tissue stain. Ultrastructural examination, however, demonstrated marked fragmentation and degeneration of the elastic tissue. Localized cutis laxa in an acral distribution, was fully developed at presentation. He gave a history of repeated episodes of swelling and urticaria of the involved areas, which we regard as being the initial inflammatory stages of this disease process.