Cutis laxa is a rare genetic disorder that affects the connective tissues of the body, leading to loose and sagging skin. It is characterized by skin that appears wrinkled, saggy, and inelastic. The condition can vary in severity, with some individuals experiencing mild symptoms while others may have more pronounced features.
Skin abnormalities: The most prominent symptom of cutis laxa is the loose and sagging skin. This can be observed on various parts of the body, including the face, neck, arms, and abdomen. The skin may appear wrinkled, redundant, and lacking elasticity. In severe cases, the loose skin can hang in folds, giving a prematurely aged appearance.
Facial features: Cutis laxa can affect the facial structure, leading to distinct facial features. These may include a broad forehead, droopy eyelids (ptosis), a long and narrow face, a small chin, and a sunken appearance around the eyes.
Respiratory problems: Some individuals with cutis laxa may experience respiratory issues due to the laxity of the tissues in the lungs and airways. This can result in breathing difficulties, recurrent respiratory infections, and an increased risk of lung collapse.
Gastrointestinal issues: Cutis laxa can affect the connective tissues in the gastrointestinal tract, leading to various digestive problems. These may include gastroesophageal reflux disease (GERD), hernias, constipation, and difficulty swallowing.
Cardiovascular abnormalities: The condition can also impact the cardiovascular system, causing abnormalities in the blood vessels and heart. Individuals with cutis laxa may be at a higher risk of developing aortic aneurysms, which are bulges in the walls of the aorta. Other cardiovascular issues may include valve abnormalities, enlarged heart, and irregular heart rhythms.
Joint laxity: Cutis laxa can affect the joints, leading to hypermobility and joint laxity. This means that the joints have an increased range of motion and may be more prone to dislocations and injuries.
Delayed development: In some cases, individuals with cutis laxa may experience developmental delays. This can include delayed motor skills, speech and language delays, and cognitive impairments.
Other features: Cutis laxa can also present with other associated features, such as hernias (umbilical, inguinal), bladder diverticula, and abnormal tooth development.
It is important to note that the symptoms and severity of cutis laxa can vary widely among affected individuals. Some individuals may only have mild skin involvement, while others may experience more systemic complications affecting multiple organ systems. The condition can be diagnosed through clinical examination, genetic testing, and imaging studies to assess the extent of organ involvement.