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