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Late-Onset Facial Papular Elastorrhexis

Santonja, Carlos, MD*; Salinas, Silvia, MD; Requena, Luis, MD; Kutzner, Heinz, MD§; Valverde, Ricardo, MD

The American Journal of Dermatopathology: December 2018 - Volume 40 - Issue 12 - p 930–932
doi: 10.1097/DAD.0000000000001215
Extraordinary Case Report

Abstract: Papular elastorrhexis, a rare defect of dermal elastic fibers of unknown origin, usually involves the trunk and extremities of children or young adults. We report the case of a 62-year-old woman with multiple soft, skin-colored facial papules with histological findings characteristic of papular elastorrhexis. Awareness of this entity may allow for its proper identification outside the usual clinical setting.

*Department of Pathology, Fundación Jiménez Díaz, Madrid, Spain;

Department of Pathology, Hospital Universitario Infanta Sofía, Madrid, Spain;

Department of Dermatology, Fundación Jiménez Díaz, Madrid, Spain;

§Dermatopatologie Friedrichshafen, Friedrichshafen, Germany; and

Department of Dermatology, Hospital Universitario Infanta Sofía, Madrid, Spain.

Correspondence: Carlos Santonja, MD, Anatomía Patológica Fundación Jiménez, Díaz Departamento de Anatomía Patológica, Hospital Universitario Fundación Jiménez Díaz, Avenida de los Reyes Católicos 2, 28040 Madrid, Spain (e-mail:

The authors declare no conflicts of interest.

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