Fixation and gross processing
Consider the main causes of elastosis:
(most common, also called solar elastosis)
|Elastin replacing collagen fibers of the papillary dermis and reticular dermis.
Because of its high frequency, solar elastosis is often found incidentally with other lesions.
|Elastosis perforans serpiginosa||Degenerated elastic fibers and transepidermal perforating canals (arrow in image points at one of them)|
|Perforating calcific elastosis]||Clumping of short elastic fibers in the dermis.|
|Linear focal elastosis||Accumulation of fragmented elastotic material within the papillary dermis and transcutaneous elimination of elastotic fibers.|
Incidentally discovered elastosis in skin that may have received prolonged sun-exposure can be presumed to be solar elastosis if there are no characteristics of any differential diagnosis thereof.
- The presence of elastosis, with the most probable cause thereof.
In incidentally discovered solar elastosis in case of another disease, description may be brief, such as "Solar elastosis". Optionally, add ", also in surrounding dermis/skin" if present, to emphasize that it is likely not directly connected to the other disease seen.
See also: General notes on reporting
- Beth Wright. Elastosis. DermNet NZ.
- Hosen, Mohammad J.; Lamoen, Anouck; De Paepe, Anne; Vanakker, Olivier M. (2012). "Histopathology of Pseudoxanthoma Elasticum and Related Disorders: Histological Hallmarks and Diagnostic Clues
". Scientifica 2012: 1–15. doi:10.6064/2012/598262. ISSN 2090-908X.
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