Papular Elastorrhexis: A Variety of Nevus Anelasticus?

To the Editor.— Connective tissue nevi are localized nevoid malformations of mesenchyme in which one or more dermal components, mostly those in the extracellular matrix, can be increased or decreased and/or deformed.1Whenever the most prominent alterations are in the elastic tissue the condition is often referred to asnevus elasticus. This condition can be characterized either by an excess (plus nevus) or a defect (minus nevus or nevus anelasticus) of elastic tissue.2We report herein a case that we believe might be considered a variety of nevus anelasticus. Report of a Case.— A 17-year-old boy with unremarkable medical and family history presented with several asymptomatic cutaneous lesions that had progressively developed for three years. However, in the last six months, the incidence of appearance of new lesions had increased. Twenty-three lesions were detected on examination. They consisted of flat, firm, yellowish, isolated, painless, oval-shaped papules, ranging in