Linear Focal Elastosis: A Peculiar Dermatosis

Linear focal elastosis (LFE), also known as elastotic striae, is a rare cutaneous condition characterized by abnormal or increased deposition of elastic fibers in the dermis. It typically presents as asymptomatic, atrophic, or hyperpigmented linear bands, most commonly on the back. We report a case of LFE in a 15-year-old healthy male who presented with multiple asymptomatic, parallel hypopigmented linear bands with hyperpigmented borders on his back. A skin biopsy revealed characteristic thickened and fragmented elastic fibers in the reticular dermis, confirming the diagnosis. The pathogenesis of LFE remains unclear, but hypotheses suggest a role for mechanical stress, trauma, or growth spurts, particularly in adolescents. The condition is often misdiagnosed as striae distensae, linear morphea, or other elastotic disorders. Histopathological confirmation is essential to prevent unnecessary interventions. Increased awareness of LFE can aid in early recognition and differentiation from other dermatoses. Reassurance and patient education remain a cornerstone of management.