Sudden onset of white fibrous papulosis of the neck and milia cysts on the neck of an elderly female patient

Abstract

White fibrous papulosis of the neck (WFPN) is a variant of fibroelastolytic papulosis among with pseudoxanthoma elasticum-like papillary dermal elastolysis (PXE-PDE) and papillary dermal elastosis (PDE), which can be considered as an underdiagnosed and/or under reported condition. All the three variants clinically resemble each other, while the differentiation is histopathological. 1 Here, we present a case of sudden-onset WFPN on the neck of an elderly female patient, accompanied by the formation of eruptive milia cysts. A 78-year-old female patient presented with white papules on the posterior aspect of the neck that had been present for the past 3 months; however, she reported a sudden onset of the lesions. She did not have any associated symptoms. No family members reported How to cite this article: Aktaş Karabay E, Semiz Y, Singer R, Dobral A, Yalçın Ö. Sudden onset of white fibrous papulosis of the neck and milia cysts on the neck of an elderly female patient.

White Fibrous Papulosis of the Neck: A Case Report

“…It should first include elastic pseudoxanthoma, which presents ocular and cardiovascular manifestations, with histology showing the absence of fragmentation of elastic fibers and calcium deposits. Acrocordons, fibrofolliculomas, and trichodiscomas in Birt Hogg-Dube syndrome, Buschke-Ollendorf syndrome, cutis rhomboidalis nuchae, eruptive xanthomas, and perifollicular elastosis should also be considered (Table 1 ) [ 4 , 12 ].…”