Naslov
What is the diagnosis: Confluent reticulated papillomatosis or Gougerot and Carteaud disease?

Autori
Marinović, Branka ; Basta-Juzbašić, Aleksandra ; Dobrić, Ivan ; Lipozenčić, Jasna ; Paštar, Zrinjka

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Journal of the American Academy of Dermatology / - , 2009, AB160-AB160

Skup
67th Annual Meeting of the American Academy of Dermatology

Mjesto i datum
San Francisco (CA), Sjedinjene Američke Države, 06.03.2009. - 10.03.2009

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Erythema dyschronicum perstans; seborrhoic keratosis; Gougerot; Carteaud disease; skin biopsy

Sažetak
We report a 40-years-old female that initially presented to our department in 2001 with brown, slightly verrocous changes on her backWe report on 40-year-old female patient who presented for the first time to our Department in 2001 with brown, slightly verrucous changes on her back which started to appear three years earlier. At the beggining they were light brown and later some of them became much darker. During first hospitalization two biopsies were made which revealed diagnosis of erythema dyschromicum perstans. She was treated with local corticosteroid therapy with only partial regression of lesions. In October 2003 she was hospitalized again at our Department because of new, velvety-textured, brown patches on her trunk, especially in axillary regions, and extremities. Two biopsies were made which revealed changes similar to acanthosis nigricans. According to clinical picture and course of the disease the diagnosis of acanthosis nigricans-like lesions was made. At that time we were trying to define trigger for appearance of thesee lesions because no association with endocrine disorder, obesity, malignancy nor drugs was found. As new lesions appeared on regulary basis, and old one became darker and thicker we made few more biopsies. Pathology in these lesions was reminiscent of seborrhoic keratoses and thus of Gougerot and Carteaud disease. Clinically patient reminds on multilocular fixed drug eruption or connfluent of reticulated papillomatosis. As disease makes a great discomfort to patient, we tried different therapeutic measures although without definitive diagnosis. We tried topical preparations with hydrokinon, cryotherapy, topical steroids as well as sistemic therapy with azythromicin. Unfortunately neither of these treatments gave any result and new lesions appear still regulary.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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