Abstract
To the Editor.— The June 1976 issue of theArchivescontains an interesting report of a case of acquired cutis laxa. 1 Although we do not doubt the authors' statement that they observed and granulation of elastic fibers in the skin sections they studied, we submit that Figure 4 of their article does not document that statement. As we pointed out in 1969, 2 fragmentation of elastic fibers is difficult to prove. Many normal elastic fibers, because of their three-dimensional distribution in the skin, are chopped into short pieces by the microtome knife, and this effect is recognized by the sharp edges of the fragments as illustrated in Figure 4 of the article by Scott et al1 and in Figures 63 and 247 of the second edition of our book. 3 True elastolysis is illustrated in Figure 257 of A Guide to Dermatohistopathology .
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