Pseudoxanthoma elasticum
Incidental findings ?Sternotomy scar
+ve signs Chicken skin neck, axilla. Angioid streaks.
Differential diagnosis PXE
Function
Tests Punch bipsy – van Gieson stain shows fragmentation elastic tissue
Extensions

  • Examine peripheral pulses
  • Fundus for angioid streaks (also in paget’s, sickle cell, ehlers-danlos)
    • Notes

  • Remember to look at neck in patient with generalized pigmentation in retina
  • Complications: upper GI haemorrhage, visual loss, MI, stroke, claudication, miral valve prolapse, renovascular hypertension
    • ‹ Paget's diseaseupFundoscopy ›
    »