Korean J Dermatol.  2019 Jun;57(5):262-264.

Fibroelastolytic Papulosis of the Chest

Affiliations
  • 1Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea. drkmp@hanmail.net
  • 2Biomedical Research Institue, Pusan National University Hospital, Busan, Korea.

Abstract

Fibroelastolytic papulosis is an acquired elastic tissue disorder that includes the clinicopathological features of white fibrous papulosis of the neck (WFPN) and pseudoxanthoma elasticum-like papillary dermal elastosis (PXE-PDE). It is clinically characterized by discrete white papules occurring on the neck in middle-aged women and is histopathologically characterized by elastolysis and/or fibrosis in the upper dermis. An 80-year-old woman presented with multiple white papules on her anterior chest, which occurred 6 months prior to the presentation. Histopathological examination of a biopsy specimen revealed some degree of fibrosis and elastolysis in the upper dermis. Thus, the final diagnosis in this case was compatible with fibroelastolytic papulosis considering that this patient showed clinicopathological features of both WFPN and PXE-PDE. Notably, this is the first case report that describes fibroelastolytic papulosis confined exclusively to the anterior chest.

Keyword

Elastosis; White fibrous papulosis

MeSH Terms

Aged, 80 and over
Biopsy
Dermis
Diagnosis
Elastic Tissue
Female
Fibrosis
Humans
Neck
Thorax*
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