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Penicillamine-induced Elastosis Perforans Serpiginosa and Cutis Laxa in a Patient with Wilson's Disease.
[cystinuria]
Elastosis
perforans
serpiginosa
(
EPS
)
is
a
rare
reactive
perforating
dermatosis
that
is
characterized
by
the
transepidermal
elimination
of
abnormal
elastic
fibers
.
Penicillamine
,
which
is
one
of
the
clear
triggers
for
EPS
,
is
a
heavy
metal
chelator
that
is
primarily
used
for
disorders
such
as
cystinuria
and
Wilson
's
disease
.
It
may
cause
alterations
in
the
dermal
elastic
tissue
such
as
pseudo-
pseudoxanthoma
elasticum
,
acquired
cutis
laxa
,
EPS
and
anetoderma
.
Herein
we
present
a
case
of
cutis
laxa
and
EPS
in
a
34
-
year
-old
man
who
was
previously
on
a
long
-term
,
high
-dose
of
penicillamine
for
Wilson
's
disease
.
The
combination
of
EPS
and
cutis
laxa
induced
by
penicillamine
has
rarely
been
reported
and
we
report
the
first
such
case
in
Korea
.
Diseases
Validation
Diseases presenting
"eps and anetoderma"
symptom
cystinuria
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