Mid‐dermal elastolysis preceded by acute neutrophilic dermatosis

Background:  Mid‐dermal elastolysis is a rare idiopathic elastic tissue disorder that is characterized by localized patches of finely wrinkled skin and a ‘band‐like’ loss of elastic tissue in the mid‐reticular dermis. Lesions may be preceded by erythema and/or urticaria, and histological examination of inflamed lesional skin may demonstrate lymphohistiocytic dermal infiltration.

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