Mid-dermal elastolysis as a manifestation of immune reconstitution inflammatory syndrome in an HIV-infected patient Carlo Cota, MD, Alessandra Latini,

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Mid-dermal elastolysis as a manifestation of immune reconstitution inflammatory syndrome in an HIV-infected patient Carlo Cota, MD, Alessandra Latini, MD, Viviana Lora, MD, Lorenzo Cerroni, MD Journal of the American Academy of Dermatology Volume 71, Issue 4, Pages e134-e135 (October 2014) DOI: 10.1016/j.jaad.2014.04.051 Copyright © 2014 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Mid-dermal elastolysis: asymptomatic parchment-like appearance of the skin on the trunk. Journal of the American Academy of Dermatology 2014 71, e134-e135DOI: (10.1016/j.jaad.2014.04.051) Copyright © 2014 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Mid-dermal elastolysis. A, Detail of multinucleated giant cells in the mid dermis with occasional elastophagocytosis. B, Bandlike loss of elastic fibers in the mid dermis. (A, Hematoxylin-eosin stain; original magnification: ×200.) (B, Orcein stain; original magnification: ×40.) Journal of the American Academy of Dermatology 2014 71, e134-e135DOI: (10.1016/j.jaad.2014.04.051) Copyright © 2014 American Academy of Dermatology, Inc. Terms and Conditions