Case Presentation A 31-year-old Hispanic woman presented for an evaluation of a diffuse asymptomatic rash, of four years duration, on her anterior neck and her chest between her breasts. [cureus.com]

It should be considered in the differential diagnosis, along with acanthosis nigricans and confluent and reticulated papillomatosis of Gougerot and Carteaud when a pigmented and papillary dermatosis is present around the neck and upper part of the thorax [jamanetwork.com]

M.: Acanthosis Nigricans (Juvenile Type) Associated with Obesity, presented before the New York Academy of Medicine, Section of Dermatology, April, 1955. 18. [deepdyve.com]

Case study, Radiopaedia.org (Accessed on 26 Nov 2022) https://doi.org/10.53347/rID-82146 Institution: Aurès Medical Imaging Center - Batna Algeria Inclusion in quiz mode: Included + add to new playlist Presentation Torticolis with swelling of the right [radiopaedia.org]

• Anorexia

  6011000124106~MAPADVICE~IF LEGIUS SYNDROME CHOOSE Q85.01 | MAP OF SOURCE CONCEPT IS CONTEXT DEPENDENT 6011000124106~MAPTARGET~Q93.2 6011000124106~MAPGROUP~4 900000000000509007~ACCEPTABILITYID~900000000000548007 6011000124106~MAPADVICE~IF FACIAL DYSMORPHISM, ANOREXIA [bioportal.bioontology.org]

• Falling

  Fall von Papillomatose, Jap. J. Dermat. & Urol. 45:22, 1939. 33. Touraine, A., and Vissian, L.: Papillomatose confluente et réticulée ou maladie de Gougerot et Carteaud, Ann. dermat. et syph. 6:493 ( (Sept.) ) 1946 34. Bull. [deepdyve.com]

• Papule

  It consists of macules or papules which show pigmentation or papules which show pigmentation or depigmentation and look atrophic. [papersearch.net]

  Bull Soc Fr Dermatol Syph 34: 719-721 Jankowska-Konsur A et al (2013) Confluent brownish papules and plaques on the neck, upper chest and back: a quiz. Confluent and reticulated papillomatosis of Gougerot and Carteaud. [altmeyers.org]

  Papules can take 12 to 39 months to resolve and have a recurrence rate of 13.8 to 15.4 percent. [statpearls.com]

  Grayish brown hyperkeratotic papules and plaques in a confluent pattern on the intermammary region. Clinically a reticular pattern peripherally. Lesions begin as slightly hyperkeratotic to warty papules that are 1-2 mm in diameter. [standardofcare.com]

  Yellow-brown, skin-colored or hyperpigmented waxy papules may appear on the chest and back that coalesce into crusted plaques. Groin, axilla, and inframammary involvement is often present. [cureus.com]

• Pruritus

  + Ocular Neovascularization + onchocerciasis + ophthalmia nodosa ophthalmomyiasis optic nerve disease + orbital disease + Papulosquamous Skin Diseases + phaeohyphomycosis + philophthalmiasis photosensitivity disease + pigmentation disease + Prurigo Pruritus [rgd.mcw.edu]

  Patients are often asymptomatic, but they may experience mild pruritus. Pigmented macules, patches, and plaques most commonly on the chest. Grayish brown hyperkeratotic papules and plaques in a confluent pattern on the intermammary region. [standardofcare.com]

  Findings on histopathology include: Hyperkeratosis Papillomatosis Focal acanthosis Increased melanin pigmentation and melanosomes History and Physical Confluent and reticulated papillomatosis is mostly asymptomatic but can present with some pruritus. [statpearls.com]

• Suggestibility

  However, the response to antibiotic therapy suggests that bacterial pathogens may be involved in the development of CARP. [cureus.com]

  It has been suggested that pseudoatrophoderma colli might be a type of confluent and reticular papillomatosis and the latter a form of acanthosis nigricans. [deepdyve.com]

  Some authors suggest that vitamin A deficiency may be a contributing factor to the cause of this condition. [emedicine.medscape.com]

  It is suggested a genetic or diet-induced abnormal keratinizing response may be be triggered by P orbiculare. Reports of successful treatment with antibiotics of the tetracycline, macrolide, cephalosporin and steroid classes. [standardofcare.com]

  Amyloid deposits have been found in some patients with confluent and reticulated papillomatosis, suggesting amyloidosis as a cause. [statpearls.com]

• Confusion

  This is an attempt to clarify a most vexing and confusing problem and to circumscribe our terminology. The salient literature on the three entities will be reviewed. [deepdyve.com]

• Gram-Positive Bacteria

  (DD: atypical pityriasis versicolor) or gram-positive bacteria (Dietziaceae spp. of the order Actinomycetales). Associations with diabetes mellitus, obesity and hormonal disorders (thyroid dysfunction). [altmeyers.org]

• Lymphocytic Infiltrate

  Histological examination shows hyperkeratosis, hypogranulosis, focal acanthosis and perivascular lymphocytic infiltration. [papersearch.net]

  Bulky perivascular oriented lymphocytic infiltrate in the upper dermis. PAS staining is negative (no detection of Pityrosporon spp.). Diagnosis This section has been translated automatically. [altmeyers.org]

  The papillary dermis is thickened with papillomatosis and thickened bundles of collagen in vertical array, with increased number of thick walled capillaries and sparse superficial perivascular lymphocytic infiltrate [Hematoxylin & eosin, 400X] Contributed [statpearls.com]

Two cases of confluent and reticulate papillomatosis: successful treatments of one case with cefdinir and another with minocycline. Yamamoto A, Okubo Y, Oshima H, Oh-i T, Koga M. Yamamoto A, et al. [pubmed.ncbi.nlm.nih.gov]

Both patients demonstrated a good response within the first month of treatment. Main Content For improved accessibility of PDF content, download the file to your device. [escholarship.org]

When confluent and reticulated papillomatosis is diagnosed, the initial treatment is with antimicrobials. Treatment can help with emotional distress and cosmetic appearance. [statpearls.com]

Is responsive to treatment but frequently recurs after discontinuation of therapy. [standardofcare.com]

The condition responded very well to treatment with 5% lactic acid ointment. It is likely that pseudoatrophoderma colli is more common than has been reported. [jamanetwork.com]

Since then, only single cases of this condition have been described; however, pseudoatrophoderma colli is likely more common than has been reported. [3, 4] Prognosis Pseudoatrophoderma colli is a benign disease with no associated mortality or morbidity [emedicine.medscape.com]

An early diagnosis of the underlying tumor disease can significantly improve the patient's prognosis. [unboundmedicine.com]

Prognosis is unpredictable and usually responds to treatment. Pseudo alopecia areata [36] refers to patchy hair loss due to skull-caps with metal pin fasteners used by orthodox Jews in Israel. [ijdvl.com]

Confluent and reticulated papillomatosis of Gougerot and Carteaud is a rare dermatosis of unknown etiology. There are numerous… SUMMARY.— A case of pseudoatrophoderma colli is reported and the clinical and histological features are discussed. [semanticscholar.org]

The etiology of confluent and reticulated papillomatosis is not yet well established but multiple theories exist regarding its pathogenesis. [cureus.com]

Successful treatment with antibiotics lead to the hypothesis that bacteria, perhaps within the hair follicle, are the etiologic agents. There is no particular pattern or mode of inheritance. [standardofcare.com]

Pseudo hypoparathyroidism has been classified in to type 1a, 1b, 1c and type 2 depending on the etiology and clinical features. [ijdvl.com]

Reports of familial cases of pseudoatrophoderma colli support the theory that it is an autosomal dominant dermatosis and a single disease entity. [9, 6] Etiology The cause of the condition is unknown. [emedicine.medscape.com]

Epidemiology Pseudoatrophoderma colli is rare, with only 10-20 cases reported. No clear racial predilection is described. All patients described in the literature, except one, [10] are females. [emedicine.medscape.com]

The clinical features, differential diagnosis, epidemiology, and proposed etiologies for confluent and reticulated papillomatosis are discussed as well as possible treatment options. [cureus.com]

Familial cases of confluent and reticulated papillomatosis could be due to overexpression of keratin-16.[4][5][6][7] Epidemiology Confluent and reticulated papillomatosis is reported to occur in different geographic areas and regions. [statpearls.com]

Kauh et al treated a patient with 5% lactic acid in hydrophilic ointment, with relief of itching and scaliness and a decrease in pigmentation. [6] Pathophysiology The nature of the disease remains uncertain. [emedicine.medscape.com]

Robert A Schwartz, MD, MPH Professor and Head, Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, UMDNJ-New Jersey Medical School Disclosure: Nothing to disclose. [emedicine.medscape.com]

Skin care of obese patients deserves particular attention, not only because of the high prevalence of cutaneous alteration but mainly because many of these disorders are preventable and could be treated, improving patient's quality of life. [unboundmedicine.com]

Janniger CK, Thomas I: Diaper dermatitis: an approach to prevention employing effective diaper care. Cutis 1993; 52: 153-155. Janniger CK, Kuflik AS: Pediculosis capitis. Cutis 1993; 51: 407-408. Janniger CK: Neonatal and infantile acne vulgaris. [camilajannigermd.com]