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We report a case with distinct histologic features, which may represent a unique elastic tissue disorder or a variant of pseudoxanthoma elasticum\u2010like papillary dermal elastolysis. Our patient's clinical presentation includes scattered 1\u20132 mm white\u2010to\u2010yellow papules without surface change on the upper back and neck region. Histology is characterized by foci of clumped, granular elastic tissue, which have replaced the oxytalan and elaunin fibers, alternating with foci of decreased concentrations of normal\u2010appearing elastic fibers within the papillary dermis. Given its characteristics, we have termed this novel entity \u2018papillary dermal elastosis\u2019.<\/jats:p>","DOI":"10.1111\/j.1600-0560.2008.01183.x","type":"journal-article","created":{"date-parts":[[2008,12,19]],"date-time":"2008-12-19T18:29:46Z","timestamp":1229711386000},"page":"1010-1013","source":"Crossref","is-referenced-by-count":24,"title":["Papillary dermal elastosis: a unique elastic tissue disorder or an unusual manifestation of pseudoxanthoma elasticum\u2010like papillary dermal elastolysis?"],"prefix":"10.1111","volume":"36","author":[{"given":"Annie 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