We report 2 women, aged 83 and 63 years, who presented with multiple a
symptomatic, slowly progressive, coalescing, skin-colored papules affe
cting the sides of the neck and lower abdomen. Incisional biopsies obt
ained from both patients revealed elastolysis in the papillary dermis.
These 2 cases represent pseudoxanthoma elasticum-like papillary derma
l elastolysis, a recently described entity, the etiology of which rema
ins unclear.