Pseudoxanthoma elasticum is a genodermatosis caused by a change in ela
stic fibers but with a non well defined biochemical correlate. Its pro
gnosis depends upon the degree of visceral involvement. The appearance
of cutaneous lesions allows an early diagnosis. We report here three
sisters aged 23, 21, and 19 years with pseudoxanthoma elasticum who ha
d typical cutaneous and retinal lesions. The clinical diagnosis was co
nfirmed by a cutaneous biopsy. To note the high diagnostic yield and m
inimal morbidity of the cutaneous biopsy for diagnosing this disease.