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Terra Firma-Forme Dermatosis

Terra Firma-Forme Dermatosis Abstract To the Editor.— We report a unique, readily diagnosable dermatosis of children and young adults that we have recognized for the past ten to 12 years. Although generally considered a nuisance cosmetic condition, it has occasionally confounded dermatologists and triggered expensive endocrinologic evaluations.The initial cases were of young children who were brought in by distraught mothers with the vexing problem of "I can't wash the dirt off!" Examination revealed what, indeed, appeared to be dirty-appearing skin, usually around the neck, but sometimes on the arms or trunk. The children woefully recounted their discomfort due to their mother's efforts to scrub their necks clean. The clinical differential diagnoses include pityriasis (tinea) versicolor, Gougerot and Carteaud's reticular and confluent papillomatosis, acanthosis nigricans, pseudoacanthosis nigricans, epidermolytic hyperkeratosis, hyperkera-tosis of the nipple and areola,1 and idiopathic deciduous skin.2The diagnosis is made with a single wipe of the affected area using an alcohol-soaked cotton ball. The "dirt" wipes away, revealing sparkling clean skin beneath, to the chagrin of any (especially maternal) observers. References 1. Mehregan AH, Rahbari H: Hyperkeratosis of nipple and areola . Arch Dermatol 1977;113:1691-1692.Crossref 2. Panja SK, Sengupta S: Idiopathic deciduous skin . Int J Dermatol 1982;21:262-264.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1987.01660290031009
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— We report a unique, readily diagnosable dermatosis of children and young adults that we have recognized for the past ten to 12 years. Although generally considered a nuisance cosmetic condition, it has occasionally confounded dermatologists and triggered expensive endocrinologic evaluations.The initial cases were of young children who were brought in by distraught mothers with the vexing problem of "I can't wash the dirt off!" Examination revealed what, indeed, appeared to be dirty-appearing skin, usually around the neck, but sometimes on the arms or trunk. The children woefully recounted their discomfort due to their mother's efforts to scrub their necks clean. The clinical differential diagnoses include pityriasis (tinea) versicolor, Gougerot and Carteaud's reticular and confluent papillomatosis, acanthosis nigricans, pseudoacanthosis nigricans, epidermolytic hyperkeratosis, hyperkera-tosis of the nipple and areola,1 and idiopathic deciduous skin.2The diagnosis is made with a single wipe of the affected area using an alcohol-soaked cotton ball. The "dirt" wipes away, revealing sparkling clean skin beneath, to the chagrin of any (especially maternal) observers. References 1. Mehregan AH, Rahbari H: Hyperkeratosis of nipple and areola . Arch Dermatol 1977;113:1691-1692.Crossref 2. Panja SK, Sengupta S: Idiopathic deciduous skin . Int J Dermatol 1982;21:262-264.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: May 1, 1987

References