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April 1982

Haber's Syndrome or Dowling-Degos Disease?-Reply

Author Affiliations

Kiyotake, Japan

Arch Dermatol. 1982;118(4):214. doi:10.1001/archderm.1982.01650160004003

In Reply.—  Thank you for your interest in the article. Although there are several similarities between the cases diagnosed as Dowling-Degos disease and our cases, especially histologically, I think HS and DDD are different entities. Our patients did not have reticulate pigmented anomalies of the flexures but did have black warts and red faces. Haber's syndrome may be a disease of hereditary seborrheic keratoses. Rosacea, which is not found in DDD, is a striking feature of HS. One of our patients had used adrenal steroid ointments frequently, but the other two patients had not.However, there are indeed some similarities between HS and DDD that should be studied further.Another condition that should be differentiated from HS is familial, eruptive milia. The patient described by Heard et al1 (not the first to be described) had multiple nonpigmented papules ranging from 1 to 3 mm in diameter on the face,

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