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
  1. Bordas X, Ferrandiz C, Ribera M, et al. Papular elastorrhexis: a variety of nevus anelasticus? Arch Dermatol 1987; 123: 433-4.
  2. Del Pozo J, Martínez W, Sacristán F, Fernández-Jorge B, Fonseca E. Papular elastorrhexis, a distinctive entity? Am J Dermatopathol. 2008 Apr;30(2):188-90.
  3. Lewis KG, Bercovitch L, Dill SW, et al. Acquired disorders of elastic tissue: part II. Decreased elastic tissue. J Am Acad Dermatol. 2004;51: 165–185.
  4. Sezer E, Öztürk E, Şahin DS.Papular elastorrhexis: clinical perspectives. Clin Cosmet Investig Dermatol. 2018 Oct 26;11:541-544.
  5. Şahin S, Durmaz EÖ, Sezer E, Çetin ED. Eruptive papular elastorrhexis of the face and scalp.J Am Acad Dermatol. 2013 Nov;69(5):e251-e252.
  6. Luo DQ, Liu JH, Chen MC, Wang Z, Xie WL.Papular elastorrhexis: report of four cases and review of literature. Arch Dermatol Res. 2015 Mar;307(2):99-108.
  7. Thome´ EP, Steglich RB, Meotti CD, Schwartz J, Boff AL (2012) Case for diagnosis. Papular elastorrhexis. An Bras Dermatol 87:651–653.
  8. Buechner SA, Itin P. Papular elastorrhexis. report of five cases. Dermatology. 2002;205(2):198-200.
  9. Li SJ, Peng J, Yang PP, Sheng P, Fan YM.J. Immunopathological and ultrastructural features in a case of papular elastorrhexis. Dtsch Dermatol Ges. 2017 Feb;15(2):212-214.
  10. Bem LCCP, Coppini A, Padilha VV, Lima BZ. Papular elastorrhexis: a rare and benign disease. An Bras Dermatol. 2018 Jul-Aug;93(4):573-575.
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).