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Aktaş Karabay E, Semiz Y, Singer R, Dobral A, Yalçın Ö. Sudden onset of white fibrous papulosis of the neck and milia cysts on the neck of an elderly female patient. J Cosmet Dermatol 2021; 21:1753-1757. [PMID: 34041841 DOI: 10.1111/jocd.14256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 04/27/2021] [Accepted: 05/18/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Ezgi Aktaş Karabay
- Department of Dermatology, Okmeydanı Training and Research Hospital (Prof Dr Cemil Taşçıoğlu City Hospital, Istanbul, Turkey
| | - Yavuz Semiz
- Department of Dermatology, Okmeydanı Training and Research Hospital (Prof Dr Cemil Taşçıoğlu City Hospital, Istanbul, Turkey
| | - Ralfi Singer
- Department of Dermatology, Okmeydanı Training and Research Hospital (Prof Dr Cemil Taşçıoğlu City Hospital, Istanbul, Turkey
| | - Arzu Dobral
- Department of Pathology, Okmeydanı Training and Research Hospital (Prof Dr Cemil Taşçıoğlu City Hospital, Istanbul, Turkey
| | - Özben Yalçın
- Department of Pathology, Okmeydanı Training and Research Hospital (Prof Dr Cemil Taşçıoğlu City Hospital, Istanbul, Turkey
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White Papules on the Neck of an Older Woman: Answer. Am J Dermatopathol 2020; 42:140-141. [PMID: 31990701 DOI: 10.1097/dad.0000000000001507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wang DG, Zhu WY. White Fibrous Papulosis of the Neck: A Chinese Case. J Dermatol 2014; 32:497-9. [PMID: 16043928 DOI: 10.1111/j.1346-8138.2005.tb00788.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2004] [Accepted: 02/08/2005] [Indexed: 11/27/2022]
Abstract
A 48-year-old man who presented with papules on his neck was reported. The patient had multiple, discrete, non-follicular papules on the neck that were round-to-oval, 2--3 mm in diameter and pale. They had remained entirely asymptomatic. On histologic examination, there were circumscribed areas of thickened collagen bundles in the papillary to mid-dermis. This clinical and histologic picture suggested the diagnosis of "white fibrous papulosis of the neck". As far as we are aware, this is the first report of the condition from China.
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Affiliation(s)
- Da-Guang Wang
- Department of Dermatology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, P.R. China
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Hosen MJ, Lamoen A, De Paepe A, Vanakker OM. Histopathology of pseudoxanthoma elasticum and related disorders: histological hallmarks and diagnostic clues. SCIENTIFICA 2012; 2012:598262. [PMID: 24278718 PMCID: PMC3820553 DOI: 10.6064/2012/598262] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2012] [Accepted: 07/08/2012] [Indexed: 06/02/2023]
Abstract
Among ectopic mineralization disorders, pseudoxanthoma elasticum (PXE)-a rare genodermatosis associated with ocular and cardiovascular manifestations-is considered a paradigm disease. The symptoms of PXE are the result of mineralization and fragmentation of elastic fibers, the exact pathophysiology of which is incompletely understood. Though molecular analysis of the causal gene, ABCC6, has a high mutation uptake, a skin biopsy has until now been considered the golden standard to confirm the clinical diagnosis. Although the histological hallmarks of PXE are rather specific, several other diseases-particularly those affecting the skin-can present with clinical and/or histological characteristics identical to or highly resemblant of PXE. In this paper, we will summarize the histopathological features of PXE together with those of disorders that are most frequently considered in the differential diagnosis of PXE.
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Affiliation(s)
- Mohammad J. Hosen
- Center for Medical Genetics, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
- Department of Genetic Engineering and Biotechnology, Shahjalal University of Science and Technology, Sylhet 3114, Bangladesh
| | - Anouck Lamoen
- Center for Medical Genetics, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - Anne De Paepe
- Center for Medical Genetics, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
| | - Olivier M. Vanakker
- Center for Medical Genetics, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium
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Toll Abelló A, Pujol Vallverdú RM, Alomar Muntañola A, Randazzo L, Matías-Guiu X, Lloreta Trull J. Papulosis fibroelastolítica del cuello. ¿Es la elastólisis de la dermis papilar un hallazgo histopatológico característico? ACTAS DERMO-SIFILIOGRAFICAS 2002. [DOI: 10.1016/s0001-7310(02)76595-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Abstract
Two patients, aged 72 and 69 years, had skin lesions clinically resembling pseudoxanthoma elasticum (PXE). On histologic examination, the lesions showed an increased accumulation of normal-appearing elastic fibers lacking the abnormalities that characterize PXE. Similar lesions have been described previously in two elderly patients by Tojima et al. (1995). The clinical and histologic differential diagnosis of these lesions is discussed, and it is concluded that they represent a clinicopathologic entity with undetermined prevalence and etiopathogenesis.
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Affiliation(s)
- C Limas
- Department of Anatomical Pathology, The Andreas Syngros Hospital, Athens, Greece
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Balus L, Amantea A, Donati P, Fazio M, Giuliano MC, Bellocci M. Fibroelastolytic papulosis of the neck: a report of 20 cases. Br J Dermatol 1997. [PMID: 9349351 DOI: 10.1046/j.1365-2133.1997.18711957.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The clinical and histological features of the entities known as 'white fibrous papulosis of the neck' (WFPN) and 'acquired elastolysis of the papillary dermis simulating pseudoxanthoma elasticum' (PDE) are not clearly defined. This study was conducted to compare our experience of WFPN/PDE with those described in the literature. Twenty patients presented at our institution with papular eruptions involving the neck. The asymptomatic lesions, which ranged in colour from normal skin tones to yellowish, were isolated or coalescent. Microscopically, the papules showed elastolysis and fibrosis of the upper reticular and papillary dermis. A review of the literature shows similar characteristics in cases reported as WFPN and PDE. This study indicates that WFPN and PDE are variants of a single disorder that can be more precisely defined as 'fibroelastolytic papulosis of the neck' and which appears to be a manifestation of intrinsic skin ageing.
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Affiliation(s)
- L Balus
- Laboratory of Dermatopathology, San Gallicano Institute of Dermatology, Rome, Italy
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BALUS L, AMANTEA A, DONATI P, FAZIO M, GIULIANO M, BELLOCCI M. Fibroelastolytic papulosis of the neck: a report of 20 cases. Br J Dermatol 1997. [DOI: 10.1111/j.1365-2133.1997.tb03760.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Conte A, Mastrolonurdo M, Filotico R, Rantuccio F. White fibrous papulosis of the neck. J Eur Acad Dermatol Venereol 1997. [DOI: 10.1111/j.1468-3083.1997.tb00497.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Abstract
Three patients, two females and one male, presented with white fibrous papulosis of the neck. This condition is characteristically located on both sides of the neck; however, it also appears on the upper sternal region, with a necklace-like configuration, in the two female patients, aged 72 and 78 years, respectively. A differential diagnosis was carried out with respect to other dermatoses that show a similar skin aspect, and to the pseudo-xanthoma elasticum-like papillary dermal elastolysis. This is because this condition, as well as fibrous papulosis, can be interpreted as a clinical-histological variant of the same process of cutaneous ageing. However, environmental factors can play a role in the aetiopathogenesis of fibrous papulosis in the Sicilian population.
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Affiliation(s)
- M Siragusa
- Unit of Dermatology, Oasi Institute for Research on Mental Retardation and Brain Ageing (IRCCS), Troina, Italy
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Affiliation(s)
- A Zanca
- Department of Dermatology, Carlo Poma Hospital, Mantova, Italy
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el-Charif MA, Mousawi AM, Rubeiz NG, Kibbi AG. Pseudoxanthoma elasticum-like papillary dermal elastolysis: a report of two cases. J Cutan Pathol 1994; 21:252-5. [PMID: 7962827 DOI: 10.1111/j.1600-0560.1994.tb00269.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
We report 2 women, aged 83 and 63 years, who presented with multiple asymptomatic, slowly progressive, coalescing, skin-colored papules affecting the sides of the neck and lower abdomen. Incisional biopsies obtained from both patients revealed elastolysis in the papillary dermis. These 2 cases represent pseudoxanthoma elasticum-like papillary dermal elastolysis, a recently described entity, the etiology of which remains unclear.
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Affiliation(s)
- M A el-Charif
- Department of Dermatology, American University of Beirut Medical Center, Lebanon
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Vermersch-Langlin A, Delaporte E, Pagniez D, Piette F, Lecomte-Houcke M, Bergoend H. White fibrous papulosis of the neck. Int J Dermatol 1993; 32:442-3. [PMID: 8320027 DOI: 10.1111/j.1365-4362.1993.tb02818.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Abstract
We report two middle-aged women who presented with multiple, discrete, non-follicular, oval, pale, asymptomatic lesions on the neck. Clinical and histopathological features were compatible with the entity of white fibrous papulosis of the neck.
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Affiliation(s)
- R K Joshi
- Riyadh Armed Forces Hospital, Saudi Arabia
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BLACK R, DAWSON T, CLARKE R, WALSH M. (19) A case of white fibrous papulosis of the neck in a European. Br J Dermatol 1992. [DOI: 10.1111/j.1365-2133.1992.tb01244.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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