We report two phenotypically similar patients with primary cutis laxa
associated with deficiency of lysyl oxidase, an extracellular copper e
nzyme the gene for which is located on chromosome 5. Previous reports
of this condition have had characteristic occipital projections, abnor
mality of copper metabolism and X-linked inheritance. The two reported
patients have no occipital projections, normal copper metabolism, Wor
mian bones, and a pattern of inheritance consistent with the autosomal
recessive inheritance of the lysyl oxidase gene.