Perifollicular fibroma (PFF), first reported in 1925 by Burnier and Rejsek, is a very rare nevoid lesion of the perifollicular sheath. PFF is diagnosed by a characteristic histology which shows a concentric rearrangement of collagen fibers surrounding hair follicles. The lesion presents as a small, asymptomatic, flesh-colored or erythematous papulonodule. It usually occurs as a solitary papule, but can also occur in multiple. PFF has a predilection for face, neck, and trunk. There are suggestions that multiple PFFs may be associated with colonic polyps and inherited as an autosomal dominant trait, also known as the Burt-Hogg-Dube syndrome. An 85-year-old male visited our department complaining of tiny papules on the back which he noticed several years ago. The patient had medical history of gastric cancer, hypertension, and recurrent pneumothorax, but did not have history of colonic polyposis. There was no family history of such skin lesions. Upon cutaneous examination, multiple firm, clear flesh-colored, small papules were noted on upper back. Skin biopsy was taken from a clear dome-shaped papule and showed concentric layers of fibrous connective tissue around a normal hair follicle. Both clinical and histological findings were consistent with PFF. The patient did not receive any treatment. He is under clinical observation and no new lesions or other systemic symptoms have occurred. We herein report a very rare case of multiple PFF.