Serpiginous Traces in Dermatology: Case Report of Elastosis Perforans Serpiginosa in a Patient with Down Syndrome

Abstract

We present the case of a 25-year-old female patient with a personal history of Down syndrome. She presented cutaneous lesions on the forearms for two years. They appeared without apparent cause and were accompanied by intense pruritus. She had previously been treated with emollients and topical steroids without improvement. On physical examination, she showed a localized dermatosis on the dorsal side of both forearms, characterized by grouped erythematous-violaceous hyperkeratotic papules in a pseudo-annular pattern.