Two unrelated young women with papular elastorrhexis have recently been seen at the University of Iowa Hospitals and Clinics. This entity, recently described in a single patient, is a distinct variant of a connective tissue nevus. Although the histologic features of papular elastorrhexis may mimic those of other connective tissue nevi, clinical characteristics allow differentiation. The clinical and histologic characteristics of papular elastorrhexis, as well as its differential diagnosis, are discussed.