A 47-year-old woman presented with approximately 100 soft, white to flesh-colored asymptomatic pouchlike papules and plaques on her extremities and trunk (Figure 1). These lesions began to appear when the patient was 10 years old, several months after a chickenpox infection, and became more numerous over time. They allowed herniation with gentle finger insertion and coalesced and enlarged over time. The patient was otherwise in good health, took no medications, and had no systemic complaints. A skin biopsy specimen was obtained from the back (Figure 2), and an elastic tissue stain was performed (Figure 3).
Chapman MS, Perry AE, Baughman RD. Generalized Flesh-Colored Pouchlike Papules. Arch Dermatol. 2001;137(5):657-662. doi: