Wrinkles due to idiopathic loss of mid-dermal elastic tissue

Abstract

Widespread areas of fine wrinkling of the skin was noted for 2 yr by a 42-yr-old healthy white woman. Histological study disclosed a selective absence of elastic tissue strictly limited to the mid-dermis of the involved areas. It was postulated that an antecedent urticarial process might have led to such a specific zonal destruction of elastic tissue. The elastolytic process did not change or extend, and no urticarial lesions were seen during a year of observation.