Elastosis colloidalis conglomerata (adult colloid milium, paracolloid of the skin): a maximal manifestation of actinic elastosis?

We report the case of a 50-year-old woman with multiple soft papules in the perioral region resistant to local corticosteroid and antibiotic therapies. Histology revealed elastosis colloidalis conglomerata. There were no hints for a deposition disease. The patient was treated with local retinoids. We report on the therapeutic outcome.