Reticulate, brown, velvety lesions in the axilla.
CONFLUENT AND RETICULATED PAPILLOMATOSIS
Confluent and reticulated papillomatosis (CRP) (of Gougerot and Carteaud) presents as symmetric pigmented plaques of the mid-chest and axilla in adolescents and young adults.
- CRP is highly correlated with elevated BMI and acanthosis nigricans.
- The diagnosis of CARP may serve as a segue to a discussion of weight reduction for the disorder and the patient’s overall health.
- Confluent and reticulated brown papules and plaques occurring in the mid chest is characteristic. They may also involve the back, neck, abdomen, axilla and inframammary area.
Treatment
- No treatment is needed.
- Oral doxycycline or minocycline 100 BID x 6 weeks is usually effective
- Some recommend benzoyl peroxide 10% wash in shower to prevent recurrences.
- Consider counseling if present any of the following: obesity, acanthosis nigricans, family history diabetes.
Additional Photos
CRP in the antecubital fossa.
CRP on the chest.
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