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

Biopsy 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.


From (Dermatol. Argent., 2011, 17(5): 382-386
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