Confluent and Reticulated Papillomatosis of Carteaud and Gougerot in a Young Nepali Male
Confluent and reticulated papillomatosis of Carteaud and Gougerot is a keratinization disorder with an infective aetiology. Patients present with hyperpigmented papules on the upper trunk and axillae that coalesce centrally and demonstrate reticulation peripherally. Diagnosis is based on clinical f...
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| Language: | English |
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Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)
2020-10-01
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| Series: | Nepal Journal of Dermatology, Venereology & Leprology |
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| Online Access: | https://www.nepjol.info/index.php/NJDVL/article/view/25594 |
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| _version_ | 1849227426378285056 |
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| author | Bibush Amatya Rashmi Sharma MM Aarif Syed Aasiya Rajbhandari |
| author_facet | Bibush Amatya Rashmi Sharma MM Aarif Syed Aasiya Rajbhandari |
| author_sort | Bibush Amatya |
| collection | DOAJ |
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Confluent and reticulated papillomatosis of Carteaud and Gougerot is a keratinization disorder with an infective aetiology. Patients present with hyperpigmented papules on the upper trunk and axillae that coalesce centrally and demonstrate reticulation peripherally. Diagnosis is based on clinical findings, characteristic histopathologic changes and response to therapy. We report a case of a young Nepali male who presented with gradual onset of asymptomatic raised dark brown lesions on his neck, trunk and axillae over the course of eight years. The condition was previously misdiagnosed as pityriasis versicolor and had received oral and topical antifungals. The diagnosis was revised to confluent and reticulated papillomatosis based on clinical and histopathological examination. He was subsequently started on oral minocycline 50 mg twice daily and nightly application of topical tretinoin 0.05% gel. There was complete resolution of all his lesions except for residual hyperpigmentation at the end of two months of therapy. There has been no relapse six months from the end of therapy. This is to our knowledge, the first case of confluent and reticulated papillomatosis reported from Nepal. Oral minocycline and topical tretinoin should be considered first line in the treatment of confluent and reticulated papillomatosis.
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| format | Article |
| id | doaj-art-4bb9da9d9e884a058c80ea75a2ed9fba |
| institution | Kabale University |
| issn | 2091-0231 2091-167X |
| language | English |
| publishDate | 2020-10-01 |
| publisher | Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON) |
| record_format | Article |
| series | Nepal Journal of Dermatology, Venereology & Leprology |
| spelling | doaj-art-4bb9da9d9e884a058c80ea75a2ed9fba2025-08-23T10:04:29ZengSociety of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)Nepal Journal of Dermatology, Venereology & Leprology2091-02312091-167X2020-10-0118110.3126/njdvl.v18i1.25594Confluent and Reticulated Papillomatosis of Carteaud and Gougerot in a Young Nepali MaleBibush Amatya0Rashmi Sharma1MM Aarif Syed2Aasiya Rajbhandari3Nepal Medical College, KathmanduInstitute of Medicine, Maharajgunj Medical Campus, KathmanduInstitute of Medicine, Maharajgunj Medical Campus, KathmanduInstitute of Medicine, Maharajgunj Medical Campus, Kathmandu Confluent and reticulated papillomatosis of Carteaud and Gougerot is a keratinization disorder with an infective aetiology. Patients present with hyperpigmented papules on the upper trunk and axillae that coalesce centrally and demonstrate reticulation peripherally. Diagnosis is based on clinical findings, characteristic histopathologic changes and response to therapy. We report a case of a young Nepali male who presented with gradual onset of asymptomatic raised dark brown lesions on his neck, trunk and axillae over the course of eight years. The condition was previously misdiagnosed as pityriasis versicolor and had received oral and topical antifungals. The diagnosis was revised to confluent and reticulated papillomatosis based on clinical and histopathological examination. He was subsequently started on oral minocycline 50 mg twice daily and nightly application of topical tretinoin 0.05% gel. There was complete resolution of all his lesions except for residual hyperpigmentation at the end of two months of therapy. There has been no relapse six months from the end of therapy. This is to our knowledge, the first case of confluent and reticulated papillomatosis reported from Nepal. Oral minocycline and topical tretinoin should be considered first line in the treatment of confluent and reticulated papillomatosis. https://www.nepjol.info/index.php/NJDVL/article/view/25594HyperpigmentationMinocyclineNepalTretinoin |
| spellingShingle | Bibush Amatya Rashmi Sharma MM Aarif Syed Aasiya Rajbhandari Confluent and Reticulated Papillomatosis of Carteaud and Gougerot in a Young Nepali Male Nepal Journal of Dermatology, Venereology & Leprology Hyperpigmentation Minocycline Nepal Tretinoin |
| title | Confluent and Reticulated Papillomatosis of Carteaud and Gougerot in a Young Nepali Male |
| title_full | Confluent and Reticulated Papillomatosis of Carteaud and Gougerot in a Young Nepali Male |
| title_fullStr | Confluent and Reticulated Papillomatosis of Carteaud and Gougerot in a Young Nepali Male |
| title_full_unstemmed | Confluent and Reticulated Papillomatosis of Carteaud and Gougerot in a Young Nepali Male |
| title_short | Confluent and Reticulated Papillomatosis of Carteaud and Gougerot in a Young Nepali Male |
| title_sort | confluent and reticulated papillomatosis of carteaud and gougerot in a young nepali male |
| topic | Hyperpigmentation Minocycline Nepal Tretinoin |
| url | https://www.nepjol.info/index.php/NJDVL/article/view/25594 |
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