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  Vol. 145 No. 11, November 2009 TABLE OF CONTENTS
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Confluent Scaly Erythematous Plaques on the Trunk of a 16-Year-Old Boy—Diagnosis

Arch Dermatol. 2009;145(11):1325-1330.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Confluent and reticulated papillomatosis (CRP) of Gougerot and Carteaud (nonpigmented).

MICROSCOPIC FINDINGS AND CLINICAL COURSE

Microscopic examination of the skin biopsy specimen revealed an undulating epidermal surface with broad areas of lamellar hyperkeratosis, papillomatosis, and acanthosis with club-shaped, bulbous epidermal rete ridges. A few small mounds of parakeratosis were noted. There was mild dilatation of superficial blood vessels and a sparse, superficial perivascular lymphocytic infiltrate. Together with the clinical setting, the diagnosis of CRP of Gougerot and Carteaud was made. The cutaneous eruption responded completely at day 14 of an initial 6-week course of oral minocycline (100 mg twice daily). After a partial recurrence 3 weeks later, he was given an additional course of minocycline and has remained disease free to date (10 months).

DISCUSSION

Confluent and reticulated papillomatosis is an uncommon entity first described in 1927 by Gougerot and Carteaud.1 Its incidence is unknown and most cases are sporadic. Confluent and reticulated papillomatosis typically affects individuals shortly after puberty, with a mean age of onset . . . [Full Text of this Article]



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RELATED ARTICLE

Confluent Scaly Erythematous Plaques on the Trunk of a 16-Year-Old Boy—Quiz Case
Jamison D. Feramisco, Daniel C. Zedek, Marcia Hogeling, and Ilona J. Frieden
Arch Dermatol. 2009;145(11):1325-1330.
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