BMJ Case Reports 2015; doi:10.1136/bcr-2015-212482

Drug-induced elastosis perforans serpiginosa

  1. Brian Kirby
  1. Department of Dermatology, St Vincent's University Hospital, Dublin, Ireland
  1. Correspondence to Dr Stephanie Menzies, menziess{at}
  • Accepted 19 November 2015
  • Published 7 December 2015


A 42-year-old woman presented with a 5-year history of multiple enlarging skin lesions. Her medical history was significant for Wilson's disease, for which she had taken penicillamine for approximately 20 years.

She had multiple small erythaematous keratotic papules grouped in both a circular and arciform pattern. These lesions were present on her neck, in her axillary skin folds, antecubital fossa and groin. She had associated skin laxity (figures 1 and 2).

Figure 1

Keratotic papules, axillary …

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