Clinical Case Reports (Apr 2025)

A Shared Pathogenesis? Elastic Tissue Degeneration in Two Generations: Co‐Occurrence of Acrokeratoelastoidosis and ARCL1A Cutis Laxa

  • Sumayyah I Alrefaie,
  • Sarah B. Aljoudi,
  • Houriah Y. Nukaly,
  • Waseem K. Alhawsawi,
  • Asem Shadid,
  • Sultan AlNasser,
  • Jehad Hariri

DOI
https://doi.org/10.1002/ccr3.70367
Journal volume & issue
Vol. 13, no. 4
pp. n/a – n/a

Abstract

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ABSTRACT AKE and cutis laxa type ARCL1A are both disorders of elastic fibers characterized histologically by elastin degeneration and/or fragmentation. However, the pathogenesis is thought to be distinct. AKE is an autosomal dominant disorder with an unknown gene mutation. On the other hand, cutis laxa type ARCL1A represents a fibulin five gene mutation. Herein, we present a lady with AKE, and the family history revealed a son with genetically confirmed cutis laxa type ARCL1A. This report might give insight towards the possibility of fibulin gene alterations in the pathogenesis of AKE.

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