case_images: PMC5803942_01
case_images: Lax nasolabial folds
case_images: IDOJ-9-44-g001.jpg
case_images: PMC5803942_01_IDOJ-9-44-g001.jpg
case_images: F1
case_images: Cutaneous examination revealed loose hanging ear lobes, blepharochalasis, lax nasolabial folds, and increased folds over the neck, axilla, and trunk [Figures 1-3].
case_images: Increased cutaneous folds over the neck, chest, and axillary region
case_images: IDOJ-9-44-g002.jpg
case_images: PMC5803942_01_IDOJ-9-44-g002.jpg
case_images: F2
case_images: Cutaneous examination revealed loose hanging ear lobes, blepharochalasis, lax nasolabial folds, and increased folds over the neck, axilla, and trunk [Figures 1-3].
case_images: Increased cutaneous folds over the back
case_images: IDOJ-9-44-g003.jpg
case_images: PMC5803942_01_IDOJ-9-44-g003.jpg
case_images: F3
case_images: Cutaneous examination revealed loose hanging ear lobes, blepharochalasis, lax nasolabial folds, and increased folds over the neck, axilla, and trunk [Figures 1-3].
case_images: Normal thickness of epidermis with no evident dermal inflammatory infiltrate and normal collagen bundles. Elastin fiber changes are not well appreciated on H and E staining. H and E, x10
case_images: IDOJ-9-44-g004.jpg
case_images: PMC5803942_01_IDOJ-9-44-g004.jpg
case_images: F4
case_images: Skin biopsy showed markedly reduced elastic fibers [Figures 4 and 5].
case_images: Marked reduction in elastic fibers in the superficial and deep reticular dermis with mild reduction of elastic fibers in the papillary dermis. Orcein stain, x10
case_images: IDOJ-9-44-g005.jpg
case_images: PMC5803942_01_IDOJ-9-44-g005.jpg
case_images: F5
case_images: Skin biopsy showed markedly reduced elastic fibers [Figures 4 and 5].