Pandit, Shashwata RajKhadka, AnupaJha, AyushShrestha, RimaShrestha, Ravina Bade2025-10-082025-10-082024https://hdl.handle.net/20.500.14572/2513Shashwata Raj Pandit Kist Medical College and Teaching Hospital, Nepal https://orcid.org/0009-0007-9769-0106 Anupa Khadka Kist Medical College and Teaching Hospital, Nepal Ayush Jha Kist Medical College and Teaching Hospital, Nepal Rima Shrestha Kist Medical College and Teaching Hospital, Nepal Ravina Bade Shrestha Kist Medical College and Teaching Hospital, NepalAbstract: Pseudoxanthoma elasticum (PXE) is a rare hereditary condition marked by the accumulation of fragmented and calcified elastic fibers in the body's tissues, leading to skin, vascular, and ocular involvement. In clinical practice, the most prevalent and typically earliest indication of PXE is observed through skin manifestations, which include laxity and the presence of yellowish papules and plaques. Here we report a case of a 40-year-old woman from Nepal presenting with yellowish multiple papules and plaque around the neck and axilla for 20 years, slowly increasing in size and number. A skin biopsy revealed fragmented eosinophilic elastic fibers in the dermis, consistent with PXE. Echocardiography, slit lamp, and indirect ophthalmoscopic examination were done.en-USAngioid StreaksElastic FibersPseudoxanthoma ElasticumArticle