Congenital cutis laxa is a rare heritable disorder characterized by ab
normally loose skin with a reduction in elastic tissue throughout the
dermis. It occurs in two forms, a severe autosomal recessive form asso
ciated with visceral abnormalities (including pulmonary emphysema), an
d a dominant autosomal form with abnormalities confined to the skin an
d an essentially benign prognosis. Two cases of cutis laxa in genetica
lly-related individuals are reported. The family history and the clini
cal picture characterized by severe manifestations with early pulmonar
y complications were consistent with the autosomal recessive form, The
two forms of cutis laxa should be differentiated during the neonatal
period to allow evaluation of the prognosis and of the risk to subsequ
ent children.