PMC5426700_01
Clinical features and fundoscopy.. Loose and sagging skin around the neck (A), legs (B), and back and hips (C). Peripapillary atrophy of the retina (arrow, D).
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Physical examination found loose, sagging skin, like that observed in cutis laxa, over almost his entire body (Fig 1A-1C). Fundoscopy revealed peripapillary atrophy of the retina (Fig 1D) and no changes such as angioid streaks and peau d'orange, which are seen in PXE.