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Dermatology Research and Practice
Volume 2010, Article ID 402093, 5 pages
http://dx.doi.org/10.1155/2010/402093
Case Report

Clinical Presentation of a Patient with Localized Acquired Cutis Laxa of Abdomen: A Case Report

1Department of Plastic and Reconstructive Surgery, Clinical Hospital “Sveti Duh”, Zagreb, Croatia
2Department of Dermatology and Venereology, University Hospital “Sestre milosrdnice”, Zagreb, Croatia
3General Practice, Health Care Center “dr. Gopčević”, Zagreb, Croatia
4Department of Perinatology and Intensive Care, Clinical Hospital Center Zagreb, University Hospital for Obstetrics and Gynaecology, Petrova, Zagreb, Croatia
5Department of Pathology, University Hospital “Sestre milosrdnice”, Zagreb, Croatia

Received 25 June 2009; Revised 20 November 2009; Accepted 6 January 2010

Academic Editor: Drazen M. Jukic

Copyright © 2010 Tugomir Gverić et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Cutis laxa (CL) is a rare disorder of elastic tissue characterized by loose, sagging skin with reduced elasticity, and resilience without resulting scarring. CL may be inherited as a dominant, recessive, or X-linked recessive disease, or acquired. The heritable forms of CL predominantly begin at birth, but it may be delayed until puberty or age of 30 years with extracutaneous manifestations including pulmonary emphysema, umbilical and inguinal hernias, and gastrointestinal and vesicourinary tract diverticuli. An acquired form of the disease occurs in adults with no evidence of internal organ involvement. Objective. The aim of this case report was to present our patient suffering from CL, and to evaluate clinical presentation, diagnostic and therapeutic difficulties in this rare condition. Case Report. A 30-year-old female patient was admitted to our Hospital due to localized loose and sagging skin of abdomen, induced by prior cesarean section 6 years ago. CL has been diagnosed based on the clinical picture and pathohistological appearance. Conclusion. Reconstructive surgery provides a dramatic cosmetic improvement with significant psychosocial benefit. Repeated surgical procedures may be required to correct the lax skin, which worsens with age.