Cutis laxa is a rare condition causing hypoelastic skin, and it exists in both acquired and congenital forms. Patients with either form may present to the plastic surgeon for management of skin and connective tissue manifestations. Marshall syndrome is a rare form of acquired cutis laxa characterized by neutrophilic dermatitis and subsequent hypoelastosis of skin. Two patients with findings consistent with Marshall syndrome are presented, for whom early surgical management of skin manifestations with rhytidectomy produced initially positive results, with some reduction of skin sagging; wound healing and scar formation were good. Both patients' cutis laxa produced an early partial recurrence of skin redundancy. A third patient with a congenital form of the disease is presented whose course was also characterized by steady progression requiring serial reconstructive procedures. This patient also enjoyed initially satisfactory but limited improvement in skin laxity after repeated plastic surgery procedures.
|Original language||English (US)|
|Number of pages||9|
|Journal||Plastic and reconstructive surgery|
|State||Published - Jun 1 2003|
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