Histopathological examination from the comedo-like papule revealed hyperkeratotic epidermis follicular plugging along with antler-like elongation of rete ridges confined to
[cureus.com]
[…] denigrates Dowling-Degos disease (DDD) as a possible alternative diagnosis.Clinically, the Japanese cases and, in particular, case 2 had axillary, black, verrucous lesions, "open comedo-like
[jamanetwork.com]
It usually presents after puberty with reticular pigmentation of the flexures, particularly the axillae, groin, and submammary folds, blackhead comedo-like papules, and perioral
[odermatol.com]