Pseudoxanthoma-elasticum-like papillary dermal elastolysis is a rare a
cquired idiopathic non-inflammatory elastolytic disorder. This disease
, described in aged females, is characterized by asymptomatic skin les
ions of the neck and supraclavicular regions clinically resembling pse
udoxanthoma elasticum. Histological and ultrastructural examinations s
how a total loss of the elastic fibres in the papillary dermis. We rep
ort another case of this entity in a 69-year-old Italian woman.