We are reporting four additional patients with typical Degos' clear-cell acanthomas to emphasize that a clinical diagnosis is possible.
A single, 1- or 2-cm, slowly growing, domeshaped, sharply delineated, erythematous, usually smooth papule, stippled with tiny red puncta which blanche on pressure and marginated by a thin keratinous scale, suggests the diagnosis. Presurgical recognition may avert unnecessary radical treatment.
Fine RM, Chernosky ME. Clinical Recognition of Clear-Cell Acanthoma (Degos'). Arch Dermatol. 1969;100(5):559-563. doi:10.1001/archderm.1969.01610290043009