A 44-year-old white woman presented with numerous asymptomatic 5- to 10-mm flesh-colored, firm papules on her hands, wrists (Figure 1), back, and shoulders that she had had for many years. Examination revealed gooseflesh plaques in both antecubital fossae and on the lateral aspect of her neck. A punch biopsy specimen from the antecubital fossa was stained with hematoxylin-eosin (Figure 2) and elastin (Figure 3). A radiograph of her pelvis was obtained (Figure 4).
Albertini JG, Maroon M, Tyler WB. Widespread Pea-Sized Papules and Gooseflesh Plaques in a 44-Year-Old Woman. Arch Dermatol. 2000;136(8):1055-1060. doi: