Papular elastorrhexis (PE) was first described in 1987 by Bordasl as multiple, discrete, nonfollicular, 1 to 5 mm diameter-sized white papules evenly distributed over the back, chest, shoulders, and upper extremities. It usually occurs in females, first appearing during the second decade of life. It histologically characterizes as decreased and fragmented elastic fibers, with or without changes to the collagen bundles in the reticular dermis.
Since 1987 there have been reports of at least 17 cases of PE in the English literature, and almost all of the cases had no symptoms. However we describe a patient with pruritic papules on the back which showed the typical histologic finding of PE. vardenafil 20 mg