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Multiple whitish papules on the posterior neck of an elderly woman How to cite this article: Calvão J, Ferreira BR, Cardoso JC. Multiple whitish papules on the posterior neck of an elderly woman. An Bras Dermatol. 2020;95:102-4. ,☆☆ ☆☆ Study conducted at the Department of Dermatovenereology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Abstract

White fibrous papulosis of the neck is a rare entity, with fewer than 50 cases described. It is a benign pathology whose main interest lies in its broad differential diagnosis, especially with pseudoxanthoma elasticum. The authors report the case of a 77-year-old woman with multiple yellow-white monomorphic papules on the posterior cervical region, with years of evolution. Cutaneous biopsy revealed a nodular area in the superficial and middle reticular dermis, with slight thickening of the collagen fibers and focally enlarged elastic fibers, aspects highlighted in the Verhoeff staining that additionally showed absence of elastic fibers in the papillary dermis.

KEYWORDS
Elastic tissue; Neck; Pseudoxanthoma elasticum

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