By Gary M. White, MD

Fibroelastolytic papulosis is caused by a loss of elastic tissue in the dermis which causes bumps on the skin.


Multiple yellowish soft papules on the sides and back of the neck of a middle-aged to older woman is most typical.


Biopsy is necessary for diagnosis and to exclude pseudoxanthoma elasticum. Histologic examination shows complete loss (82.4%) or marked reduction (17.6%) of elastic fibers in the papillary dermis and the presence of melanophages in the same zone (88.2%) [J Am Acad Dermatol. 2012 Jul;67(1)].


No treatment is needed, however fractionated CO2 laser gave excellent results in one case [J Drugs Dermatol 2015;14;1354].


A 69-year-old woman presents with white papules on her neck. Dermatology Online Journal 15(1)


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