PMC2934769_01
Clinical images of yellowish, symmetrical, and bilateral nonfollicular papules, located on the posterior and lateral region of the neck, respectively.
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fig1
The physical examination of the skin revealed the presence of multiple skin-colored and yellowish papules, with a cobblestone appearance, sized 1-6 mm, symmetrically distributed on the occipital, lateral, and posterior region of the neck (Figure 1).
The histopathologic examination of a biopsy of one of the cutaneous lesions revealed: H&E stain: no alterations; Orcein stain: absence of elastic fibers in the papillary dermis.
DRP2010-352724.002.jpg
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fig2
The hematoxylin-eosin stain (H&E) did not appear to reveal any alterations The orcein stain showed an absence of elastic fibers in the papillary dermis; the elastic component of the reticular dermis was normal (Figure 2).