White fibrous papulosis of the neck (WFPN) is a rare skin condition characterized by multiple, 2-3 mm sized, ivory papules with a smooth surface and a clear demarcation on the neck and back that are independent from hair follicles. Similarity between WFPN and pseudoxanthoma elasticum-like papillary dermal elastolysis (PXE-PDE) suggest that these are variants of a single disorder termed fibroelastolytic papulosis. However clinically, WFPN is characterized by isolated, whitish papules, whereas papules of PXE-PDE are yellowish and often coalesce to form cobblestone plaques. In addition to clinical features, the major histopathologic feature of WFPN is superficial dermal fibrosis with scant elastolysis. In contrast, there is papillary dermal elastolysis but no sign of fibrosis in PXE-PDE. The first case was a 29-year-old woman presented with a one-year history of multiple, discrete, non-follicular, whitish and slightly elevated papules on her neck and upper back. The second case was a 49-year-old woman presented with a one-year history of multiple whitish papules on the neck. The histologic examination revealed circumscribed areas of thickened collagen bundles in the papillary to mid-dermis in both cases. Verhoeff-Van Gieson staining in the first case revealed decreased elastic fibers at the lesion. Based on the clinical and histologic features, the diagnosis of “white fibrous papulosis of the neck” was made in both cases.