{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:04:46Z","timestamp":1762506286534},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,4,9]],"date-time":"2014-04-09T00:00:00Z","timestamp":1397001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cutan Pathol"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Lichen sclerosus et atrophicus (<jats:styled-content style=\"fixed-case\">LSA<\/jats:styled-content>) is histopathologically characterized by upper dermal hyalinization with vacuolar alteration, whereas no particular microscopic change in the mid to lower dermis has been described. The purpose of this study was to investigate any histopathologic changes involving elastic fibers in the mid to lower dermis in patients with <jats:styled-content style=\"fixed-case\">LSA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We surveyed 22 paraffin\u2010embedded specimens of vulval (18 cases) and extragenital (4 cases) <jats:styled-content style=\"fixed-case\">LSA<\/jats:styled-content>. The sliced skin sections were stained with elastic van Gieson (<jats:styled-content style=\"fixed-case\">EVG<\/jats:styled-content>), and then the degree of elastic fiber change was determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found an increase in elastic fibers in the mid to lower dermis in contrast to a decrease or disappearance of elastic fibers in the superficial hyalinized dermis. The level of increase of elastic fibers varies from normal (8\/22 cases) to moderate (7\/22 cases) to advanced (7\/22 cases) levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An increase in elastic fibers in the mid to lower dermis may reflect a repairing process in response to the degraded upper dermal elastic fibers, which could be related to the pathogenesis of <jats:styled-content style=\"fixed-case\">LSA<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cup.12342","type":"journal-article","created":{"date-parts":[[2014,3,18]],"date-time":"2014-03-18T17:43:19Z","timestamp":1395164599000},"page":"646-649","source":"Crossref","is-referenced-by-count":18,"title":["Increase of elastic fibers in lichen sclerosus et atrophicus"],"prefix":"10.1111","volume":"41","author":[{"given":"Yohei","family":"Shiba","sequence":"first","affiliation":[{"name":"Department of Dermatology National Defense Medical College  Tokorozawa Saitama 359\u20108513 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