A 58-year-old woman presented with a 2-year history of multiple progressive, asymptomatic lesions on both sides of the neck. Skin examination revealed white-to-yellow, nonfollicular, discrete, and confluent 2- to 4-mm papules. The patient was otherwise healthy and taking no drug therapy. There was no familial history of a similar condition.
The most likely diagnosis is
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Syringomas
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Pseudoxanthoma elasticum
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Milia
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Pseudoxanthoma elasticum–like papillary dermal elastolysis
Answer on page 768
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