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July 2012

Numerous Skin-Colored Papules on the Face and Neck—Diagnosis

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2012;148(7):850. doi:10.1001/archderm.148.7.850-d
MICROSCOPIC FINDINGS AND CLINICAL COURSE

Histological examination of hematoxylin-eosin stained slides demonstrated a normal-appearing epidermis and dermis. Elastic stains revealed focal absence of elastic fibers in the upper dermis. The clinical and pathological features were consistent with fibroelastolytic papulosis.

MICROSCOPIC FINDINGS AND CLINICAL COURSE

We informed the patient of the benign nature of her condition and advised that evidence regarding treatment options remains limited. We offered a test dose of experimental therapy with a fractional laser, and the patient may plan to pursue this in the future.

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