Citations 0
Off-Center Fold
November 2009

Confluent Scaly Erythematous Plaques on the Trunk of a 16-Year-Old Boy—Diagnosis

Author Affiliations





Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2009

Arch Dermatol. 2009;145(11):1325-1330. doi:10.1001/archdermatol.2009.255-b

Microscopic examination of the skin biopsy specimen revealed an undulating epidermal surface with broad areas of lamellar hyperkeratosis, papillomatosis, and acanthosis with club-shaped, bulbous epidermal rete ridges. A few small mounds of parakeratosis were noted. There was mild dilatation of superficial blood vessels and a sparse, superficial perivascular lymphocytic infiltrate. Together with the clinical setting, the diagnosis of CRP of Gougerot and Carteaud was made. The cutaneous eruption responded completely at day 14 of an initial 6-week course of oral minocycline (100 mg twice daily). After a partial recurrence 3 weeks later, he was given an additional course of minocycline and has remained disease free to date (10 months).

First Page Preview View Large
First page PDF preview
First page PDF preview