Papular Elastorrhexis

Papular elastorrhexis (PE) is an elastic tissue disease that presents with white asymptomatic papular eruptions that are histologically characterized by loss and fragmentation of dermal elastic fibers. Papules usually are white; measure 1 to 5 mm in diameter; and appear in a scattered pattern on the abdomen, chest, back, shoulders, and upper extremities. Patients generally do not have a history of infection, acne, or trauma at the lesion site.