Congenital cutis laxa (CCL) is a rare, genetically heterogeneous conne
ctive tissue disorder, manifested by loose, hanging skin, giving tile
appearance of premature aging. We report a 6-year-old female child wit
h autosomal recessive CCL type III, to assess possible correlations be
tween clinical, ultrastructural, cellular and biochemical features, Mo
rphological aberrations of the elastic and collagen tissue, increased
collagen I mRNA expression associated with increased protein synthesis
and increased collagenase gene expression of the culls laxa fibroblas
ts could be established. Our results suggest that CCL is not only a di
sease of the elastic fibers of the connective tissue but also of the c
ollagen fibers, with a central role of the fibroblast.