case_images: PMC10852350_01
case_images: Multiple polygonal flat-topped, yellowish-white papules are scattered on both sides of the neck
case_images: cureus-0016-00000051957-i01.jpg
case_images: PMC10852350_01_cureus-0016-00000051957-i01.jpg
case_images: FIG1
case_images: Dermatological examination revealed multiple polygonal flat-topped yellowish-white papules scattered on both sides of the neck, giving a pattern of plucked chicken skin (Figure 1).
case_images: The same lesion type is also present on both antecubital fossae
case_images: cureus-0016-00000051957-i02.jpg
case_images: PMC10852350_01_cureus-0016-00000051957-i02.jpg
case_images: FIG2
case_images: Upon examination of her upper limbs, the same lesions were scattered bilaterally on both antecubital fossae (Figure 2).
case_images: Hematoxylin and eosin stain revealing folded epidermis with hyperkeratosis and orthokeratosis with thickening of collagen fibers in the superficial and mid dermis. .
case_images: cureus-0016-00000051957-i03.jpg
case_images: PMC10852350_01_cureus-0016-00000051957-i03.jpg
case_images: FIG3
case_images: Histological evaluation revealed a folded epidermis with hyperkeratosis and orthokeratosis with thickening of collagen fibers in the superficial and medium dermis on hematoxylin and eosin staining (Figure 3).
case_images: Masson's trichome stain showing collagen fibers haphazardly arranged and thickened in the papillary dermis
case_images: cureus-0016-00000051957-i04.jpg
case_images: PMC10852350_01_cureus-0016-00000051957-i04.jpg
case_images: FIG4
case_images: Masson's trichrome staining revealed haphazardly arranged and thickened collagen fibers in the papillary dermis (Figure 4).
case_images: Elastic Van Gieson stain revealing normal elastic fibers in a normal pattern and quantity
case_images: cureus-0016-00000051957-i05.jpg
case_images: PMC10852350_01_cureus-0016-00000051957-i05.jpg
case_images: FIG5
case_images: While assessing the pattern of fibers, elastic Van Gieson staining revealed normal elastic fibers in a normal pattern and quantity (Figure 5).