Confluent and reticulated Papillomatosis of Gougerot and Carteaud - presentation in adolescence
Keywords:adolescence, skin diseases, papillomatosis
Introduction: Confluent and reticulated papillomatosis (CRP) of Gougerot and Carteaud is a rare dermatosis characterized by brownish papules with fine scaling, forming confluent plaques in the center and reticulated at the periphery. It is preferentially located in the central region of the trunk, armpits and neck.
Case Report: A 13 year-old overweight female adolescent was admitted to Dermatology outpatient clinic for asymptomatic brownish skin lesions. At physical examination she presented brown plaques spread out on the breast, neck and armpits. Laboratory studies were normal and skin biopsy supported the hypothesis of CRP. She was initially treated with minocycline, suspended after completing the recommended treatment time. Then, the lesions began to return and oral isotretinoin was started with lesions resolution.
Discussion: The CRP is a rare pathology that, by their usual adolescent onset and predominance in females, may have physical and psychological implications on self-image. The etiology is probably multifactorial, so there are several therapeutic options.
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