Confluent and reticulate papillomatosis of gougerotcarteaud and. Updated diagnosis criteria for confluent and reticulated. Since gougerot and carteud first identified crp in 1927, this disease has been diagnosed by using clinical courses, histological. The eruption consists confluent, flat, brown papules localized primarily to the intermammary and interscapular regions with subsequent spread to the breast. Calcipotriol treatment of confluent and reticulated. Words in bold are either groups or are the more prominent associations. Osteomalacie et osteonecrose aseptique des tetes femorales. Vitamin a, tretinoin cream, and etretinate have been used in the past with some success. With the help of electron microscopy, it has been elucidated that crp arises due to aberrant. So whether oure thinking of a full course dinner or a cafe au lait with a croissant, it is spelled delicious. Response of confluent and reticulate papillomatosis of gougerot. Confluent and reticulated papillomatosis of gougerot. The pathogenesis has been attributed to abnormal and delayed keratinization. Papilomatosis reticulada y confluente, gougerot carteaud.
Confluent and reticulated papillomatosis of gougerot and carteaud. Gougerot carteaud syndrome gcs is a rarely seen dermatosis characterized by reticular and pigmented plaques with a tendency to merge with each other in areas such as the neck, upper body, and. The lesions occur over the trunk and extensor surfaces sparing the mucous membranes. We also explore how the same technology can be used to combine. Confluent and reticulated papillomatosis crp of gougerotcarteaud is characterized by the presence of brown, spotted, warty papules measuring about 5 mm in. Pdf a case of confluent and reticulated papillomatosis.
This is a disease underdiagnosed especially in black skin. Confluent and reticulated papillomatosis of gougerot and carteaud is an uncommon but distinctive acquired ichthyosiform dermatosis characterized by persistent dark, scaly, papules and plaques that tend to be localized predominantly on the central trunk. Confluent and reticulated papillomatosis of gougerot carteaud is a rare and benign dermatosis of the young subject. Topical tretinoin treatment for confluent and reticulated. Gougerotcarteaud syndrome definition of gougerotcarteaud. A study of 39 patients and a proposal of diagnostic criteria. Treatment tinea versicolor responds well to a variety of topical and systemic treatments.
Gougerotcarteaud syndrome treated with cisretinoic acid. Full text confluent and reticulated papillomatosis. Confluent and reticulated papillomatosis gougerotcarteaud syndrome in two brothers by gurol ac. Subsequently, lesions can enlarge to 4 to 5 mm and develop a brownish hue. Hyperpigmented velvety, typically symmetrical plaques predominantly on the neck, axillae, and groin. The large checks are as fresh and tasty as a rench pastry shop and the three e. As a matter of fact, one can finda single term, for two different things. Background confluent and reticulate papillomatosis crp gougerot carteaud syndrome is a disorder that has been characterized in only small cohorts of patients. Crp is not only rare but also poorly recognized by physicians, including dermatologists.
In 1908 he earned his doctorate from the university of paris, and shortly afterwards was professor agrege at the faculty of medicine. Pdf confluent and reticulated papillomatosis of gougerot. Crp causes hyperkeratotic and hyperpigmented papules which coalesce. Confluent and reticulated papillomatosis is a rarely reported dermatosis of unknown origin. Confluent and reticulated papillomatosis successfully. Sindrome confluente e reticolare gougerot carteaud. Pdf confluent and reticulated papillomatosis of goujerotcarteaud is a rare and benign skin disease characterized by flat papules taking a. Malassezia furfur has been found in the keratin layer. It is similar to nummular and confluent papillomatosis. Mar 26, 2020 confluent and reticulated papillomatosis is a rare disease typically affecting young persons. The clinical presentation of carp is that of hyperkeratotic or verrucous brown papules that coalesce into plaques with a reticulated periphery. Confluent and reticulated papillomatosis of gougerotcarteaud on black skin. It usually presents as hyperkeratotic brown papules that coalesce into plaques with a reticulated. Confluent and reticulated papillomatosis gougerotcarteaud.
Gougerotcarteaud syndrome is an uncommon eruption that comprises brown or slategray papules, which often become confluent on the seborrheic areas of. Read confluent and reticulated papillomatosis gougerot. Dirty brown grey cutaneous patches and plaques that can be rid off by forceful swabbing with alcohol pads characterize it. Henri gougerot july 2, 1881 1955 was a french dermatologist born in saintouensurseine. References in the icd10cm index to diseases and injuries applicable to the clinical term gougerot carteaud disease or syndrome confluent reticulate papillomatosis. Confluent and reticulate papillomatosis gougerotcarteaud.
Confluent and reticulated papillomatosis crp of gougerot and carteaud was first typified in. Confluent and reticulated papillomatosis of gougerot and carteaud crp is a distinctive clinicopathologic entity, of unknown etiology, which shows some. Confluent and reticulated papillomatosis springerlink. His family history is nonrevealing, and his bmi is 21 kgm 2. An unusual variant of confluent and reticulated papillomatosis. Gougerot carteaud syndrome is an uncommon eruption that comprises brown or slategray papules, which often become confluent on the seborrheic areas of the chest and back, particularly in black adolescents and young adults fig.
We report 5 patients studied by our dermatology department between march 2009february 2010. If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a pdf plugin installed and enabled in your browser. Antiretroviralresponsive confluent and reticulated. Gougerot carteaud syndrome or confluent and reticulated papillomatosis crp, was first described by gougerot and carteaud as dermatosis. Confluent and reticulate papillomatosis gougerotcarteaud syndrome.
Terra firmaforme dermatosis is a cutaneous discoloration. Carteaud treated with tetracyclines, international journal of dermatology on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Confluent and reticulated papillomatosis of gougerot and carteaud is a rare form of papillomatosis characterized by the development of asymptomatic, small red to brown, slightly verrucous papules with a tendency to central confluence and a reticulate pattern peripherally. It was considered as a clinical form of acanthosis nigricans or amylose. Confluent and reticulated papillomatosis differential diagnoses. Please use one of the following formats to cite this article in your essay, paper or report. The diagnostic and the deceptive bhushan madke 1, bhavana doshi 1, uday khopkar 2, atul dongre 2 1 department of dermatology, topiwala national medical college and b. Sindrome confluente e reticolare gougerotcarteauddi. Gougerot and carteaud were the first to describe a rare clinical entity known as.
Confluent and reticulated papillomatosis crp was described by french dermatologists gougerot and carteaud in 1927. Although this eruption may be noted in healthy adolescents with a normal body mass index, the prevalence is increased in obesity. Pdf confluent and reticulated papillomatosis without. Gougerot and carteaud 1 were the first authors to describe confluent and reticulated papillomatosis. Confluent and reticulated papillomatosis crp of gougerot and carteaud is characterized by the presence of brownish, verrucous papules with a diameter ranging from 1 to 5 mm, centrally confluent and peripherally reticulated, with the formation of plaques with imprecise borders, usually scaly. Clinically, it is characterized by the presence of multiple confluent papules, brown in color, localized in the intermammary and interscapular region, which later spread peripherally. Vigorous rubbing with alcoholsoaked gauze or soap and water results in a complete resolution of the lesion. Confluent and reticulated papillomatosis carp gougerot carteaud syndrome is a rare disorder first characterized by gougerot and carteaud 1 in 1927. Nair hospital, mumbai, india 2 department of dermatology, seth gs medical college and kem hospital, mumbai, india.
Objectives better to characterize the clinical and pathological findings of the disorder. Confluent and reticulated papillomatosis of gougerotcarteaud crpgc is a rare dermatosis characterized by asymptomatic small, flat, and keratosic papules. Confluent and reticulated papillomatosis of gougerotcarteaud on. Confluent and reticulated papillomatosis of goujerotcarteaud is a rare and benign skin disease characterized by flat papules taking a reticulated appearance. Ha diversas opcoes terapeuticas retinoides topicos e sistemicos, antibioticos orais, entre outros a maioria com resultados discretos. Mar 26, 2020 gougerot and carteud originally described confluent and reticulated papillomatosis crp in 1927 under the name papillomatose pigmentee innominee and later renamed it papillomatose pigmentee confluente et reticulee. It has since also been referred to as the gougerotcarteaud syndrome and crp of gougerot and carteaud. Minocycline is a relatively poor tetracyclineclass antibiotic choice for urinary pathogens sensitive to this antibiotic class, as its solubility in water and levels in the urine are less than all other tetracyclines. Jul 01, 2006 read confluent and reticulated papillomatosis gougerot. Since gougerot and carteaud 1 first identified crp in 1927, this disease has been diagnosed on the basis of clinical courses, histologic findings, and treatment. Confluent and reticulated papillomatosis gougerotcarteaud syndrome. This line includes all the rich sun kissed colors of ence in large and small florals. Confluent and reticulated papillomatosis of gougerot and.
Pdf papilomatosis reticulada y confluente gougerot. Minocycline has been used to treat gougerotcarteaud syndrome with some success. Confluent and reticulated papillomatosis wikipedia. Gougerotblum syndrome is a variant of pigmented purpuric dermatitis, a skin condition characterized by minute, rustcolored to violaceous, lichenoid papules that tend to fuse into plaques of various hues 829 relative to other variants, it is characterized clinically by a male predominance, pruritus, with a predilection for the legs, and histologically, it features a densely. Dermatosis neglecta in a case of multiple fractures, shoulder. Confluent and reticulated papillomatosis crp of gougerot and carteaud was first typified in 1927. Confluent and reticulated papillomatosis is a rare disease typically affecting young persons. It is a skin disease of unknown etiology and nosology that is always discussed. The articles prior to january 20 are part of the back file collection and are not available with a current paid subscription. Background confluent and reticulated papillomatosis carp, also known as gougerotcarteaud syndrome, is a rare disorder. Moreover, the problem of look or soundalike names is not limited to the drugs but also involve the names of the diseases and other terms in dermatology literature.
Minocycline is metabolized by the liver and has poor urinary excretion. Confluent and reticulated papillomatosis crp was first described in 1927, and is also called gougerotcarteaud syndrome after the scientists who elucidated its findings. Confluent and reticulated papillomatosis an overview. Since then 1932 there has been considerable controversy over whether it is a distinct disease.
Confluent and reticulate papillomatosis of gougerotcarteaud. The lesions coalesce to form confluent plaques centrally and a reticular pattern peripherally. Confluent and reticulated papillomatosis crp, a rare skin disorder of unknown etiology, is characterized by hyperkeratotic papules confluent in the central area and reticulated hyperpigmented patch in the peripheral area 1. Confluent and reticulated papillomatosis crp of gougerot and carteaud is most likely a disorder of keratinization, although dietzia and pityrosporum organisms have been implicated. We report the case of a 31yearold woman with a rare presentation of syringoma resembling confluent and reticulated papillomatosis of gougerot carteaud. Topical therapy is generally reserved for patients with limited skin disease whereas. It usually presents as hyperkeratotic brown papules that coalesce into plaques with a reticulated periphery on the central trunk of young adults. Gougerot carteaud disease or syndrome confluent reticulate papillomatosis references in the icd10cm index to diseases and injuries. Clinically, crp lesions initially appear as 1 to 2mm erythematous macules that typically occur on the intermammary, interscapular, and epigastric regions.
It is probable that it could be a multifactorial disease due to the favorable clinical response obtained with diverse therapies. The lesions have been unresponsive to treatment with topical steroids and retinoic acid. Apr 20, 20 confluent and reticulated papillomatosis crp of gougerot carteaud is characterized by the presence of brown, spotted, warty papules measuring about 5 mm in diameter that coalesce in the center and have a peripheral reticulate pattern, usually forming plaques often desquamative and with imprecise limits. Confluent and reticulated papillomatosis of gougerot and carteaud was first described in 1927. Alternatively, you can download the file locally and open with any standalone pdf reader. In dermatology, in particular, confusing dermatologic drug names do, also, exist 5. It is a very rare condition, which consists of the eruption of numerous small papillomalike lesions. In dermatosis neglecta, a progressive accumulation of sebum, sweat, keratin and other dirt and debris, occurs due to inadequate local hygiene resulting in a localized hyperpigmented patch or a verrucous plaque. We present 2 cases of crp with typical clinical manifestations of scaly, dull, brownish, confluent and. Confluent and reticulated papillomatosis carp is an uncommon dermatosis characterized by hyperpigmented scaly macules or papillomatous papules coalescing into confluent patches or plaques centrally with a reticular pattern peripherally picture 1ad. Gougerot is remembered for his work with numerous dermatological disorders. These confluent lesions take generally a reticulated appearance. This is a disease underdiagnosed especially in black skin and it is very often confused with a pigmented form of tinea versicolor.
Before presenting to us, he saw an infectious disease specialist who initially diagnosed him with pityriasis versicolor, a great mimicker of crp, and started him on oral and topical fluconazole for 3 weeks, after which he is to follow up with us. Confluent and reticulated papillomatosis is characterized by grayish blue hyperkeratotic papules, usually located on the trunk. Confluent and reticulated papillomatosis of gougerot and carteaud is a rare dermatosis of unknown etiology, but distinctive acquired icthyosiform dermatosis seen in young adults and characterized by persistent brown, scaly macules, papules, patches. Use of methotrexate in an exuberant case of confluent and. Nov 17, 2008 dermatosis neglecta is an often misdiagnosed and underdiagnosed condition. Confluent and reticulated gougerotcarteaud papillomatosis is an uncommon dermatological condition that affects adolescents, especially young women with dark skin types.