A forensic autopsy case of death in a patient with pseudoxanthoma elasticum - Dermatopathologic findings as a clue of the cause of death

Seong Hwan Park, Gi Yeong Huh, Huguo Piao, Se Hoon Kim, Juck Joon Hwang

Research output: Contribution to journalArticle

Abstract

Pseudoxanthoma elasticum (PXE) is an autosomal recessive disorder, characterized by papular skin lesions and cutaneous laxity caused by fragmentation and mineralization of elastic fibers. Although vascular and retinal aspects of this disease and their associated complications are well characterized, few authors have focused on the increased incidence of epilepsy in patients with PXE. A 28-year-old Korean male was found dead in his work place with bloody-foamy discharge from his mouth and nostrils. He reportedly had a convulsive episode 5 days prior to his death in the work place. The skin showed generalized laxity and many creases with maculopapular pigmentations. A histopathologic examination of the skin revealed Pseudoxanthoma elasticum. Based on the histopathological findings and medical history, death was postulated to be due to 'an internal cause, possibly related to a seizure attack'. Our findings suggest that histopathologic examinations of any lesions found during the forensic autopsy should be encouraged.

Original languageEnglish
Pages (from-to)543-545
Number of pages3
JournalJournal of Forensic and Legal Medicine
Volume20
Issue number5
DOIs
Publication statusPublished - 2013 Jul 1

Fingerprint

Pseudoxanthoma Elasticum
cause of death
Cause of Death
Autopsy
workplace
death
Skin
epilepsy
examination
seizure
Workplace
fragmentation
incidence
Disease
Retinal Diseases
Elastic Tissue
cause
Pigmentation
Blood Vessels
Mouth

Keywords

  • Forensic science Forensic pathology Epilepsy Pseudoxanthoma elasticum Autopsy Dermatopathology

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Law

Cite this

A forensic autopsy case of death in a patient with pseudoxanthoma elasticum - Dermatopathologic findings as a clue of the cause of death. / Park, Seong Hwan; Huh, Gi Yeong; Piao, Huguo; Kim, Se Hoon; Hwang, Juck Joon.

In: Journal of Forensic and Legal Medicine, Vol. 20, No. 5, 01.07.2013, p. 543-545.

Research output: Contribution to journalArticle

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