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Living with Elastosis perforans serpiginosa

A rare skin condition with small rough bumps in ring or curved patterns, mostly on the neck, face, and arms.

Understanding Elastosis perforans serpiginosa

Elastosis perforans serpiginosa is a rare skin condition with extra elastic tissue that appears as small rough bumps or plaques in groups.

The bumps are arranged in curved or ring-shaped patterns, mainly on the neck, face, and arms. It usually begins in childhood or early adulthood and is more frequent in men. The bumps can fade by themselves, but they often last a long time. GARD describes it as acquired, and also lists autosomal dominant inheritance.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Small rough bumps (hyperkeratotic papules)
  • Red or skin-colored papules
  • Skin plaques
  • Ring-shaped (annular) patterns
  • Curved (serpiginous) patterns
  • Changes on the neck, face, or arms

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is a skin biopsy needed to confirm the diagnosis?
What treatments could help the bumps?
Could this be related to another condition?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant

GARD describes it as an acquired condition and lists autosomal dominant inheritance, meaning one changed copy of a gene can cause it. It doesn't list a specific gene.

Skin

Also known as: elastoma intrapapillare perforans verruciformis; elastosis perforans; eps; keratosis follicularis serpiginosa; miescher elastoma; miescher's elastoma

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Elastosis perforans serpiginosaGARD ID 10103 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Elastosis perforans serpiginosa.

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Explore actively recruiting Elastosis perforans serpiginosa studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Elastosis perforans serpiginosa with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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