ABCC6 gene is affected in the classic form of PXE and so, in the same way as there is an overlap in clinical phenotypes, there is a genotypic overlap between GACI and PXE: some patients with GACI harbor mutations in ABCC6, and some patients with clinical manifestations consistent with PXE have mutations in ENPP1 [2]. This evidence concerns the gene ENPP1 and Pseudoxanthoma elasticum.