An 81-year-old woman presented with a 2-year history of small, white papules coalescing on the neck and antecubital fossa. She denied any symptoms or previous trauma to the involved areas. She noticed a gradual increase in the number of papules over time. Her medical history was significant for hypercholesterolemia, coronary artery disease, angioplasty, and cataract surgery. She has a strong family history of coronary artery disease affecting multiple family members. Her mother died of heart disease at the age of 68 years, and a brother similarly died at the age of 50 years.
Romero JB, Rasmussen JE, Su LD. Multiple Light-Yellow Papules. Arch Dermatol. 2000;136(6):791-796. doi: