Key Clinical Message
* Papular elastorrhexis is a rare acquired disorder of elastic tissue
mostly occurring in adolescent females.
* Papular elastorrhexis is characterized by multiple, flesh-colored
monomorphous papules usually located on the trunk and the proximal
portion of the extremities.
* Neck involvement is described in two cases and it was associated to
other locations. We report a case in an old woman with atypically
isolated localization on the neck.
References
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Legend
Figure 1: Multiple flesh-colored non-follicular, 1-4 mm in diameter
papules on the posterolateral side of the neck.
Figure 2: (A) Histopathological examination showed hyperplasia of
collagen fiber in the dermis (HEX 100). (B) Orcein staining showed a
significant reduction and fragmentation of elastic tissue in the
reticular dermis (HEX 200).