Authors: Athena Emmanuelle M. Parro, MD, Patricia Anne Nicole Ramirez- Ecarma, MD, Arunee H. Sirpunvarapon- Dela Cruz, MD, FPDS
Introduction: Confluent and reticulated papillomatosis (CARP), also known as Gougerout-Carteaud Syndrome, is a rare disease affecting young adults. It is often characterized by asymptomatic hyperpigmented papules coalescing into confluent patches and plaques centrally and exhibiting a reticular pattern peripherally. To demonstrate its rarity, only 39 patients were identified in a retrospective review collected from 1972 to 2003 at the Mayo Clinic and only 29 patients in a span of 21 years were identified at the National Skin Center, Singapore. No patients were reported to have the disease here in the Philippines.
Case Summary: This is a rare case of a 34-year old Filipino male who presented with a 2-year history of progressively expanding, asymptomatic hyperpigmented confluent and reticulated papules and plaques on the chest and bilateral frontotemporal area. The patient had no history of inflammatory lesions on the area, application of new products nor any systemic symptoms noted prior to the appearance of the lesions. Skin punch biopsy revealed a non-specific finding of hyperkeratosis, acanthosis and papillomatosis. The patient responded well to Minocycline 100mg/tab OD and application of Tretinoin 0.05% cream twice daily with a significant decrease in size and hyperpigmentation of the lesion after 8 weeks of treatment.
Conclusion: The etiology of CARP remains to be unknown and there is no clear consensus on the pathogenesis and trigger for the disease. However, confluent and reticulated papillomatosis is a benign disease that has good prognosis with excellent response to Minocycline. This case report could shed light to both patients and doctors that it is indeed possible to treat skin diseases with a controversial etiology and non-specific biopsy findings.
Confluent and reticulated papillomatosis, Gougerot- Carteaud Syndrome, CARP
Authors: Katrina Carmela M. Belen, MD, DPDS, Jasmin J.Jamora, MD, FPDS , Ma. Cecilia P. Ingente MD, DPDSAbstractBackground: Dermoscopy, a non-invasive diagnostic tool, has been proven to improve the diagnostic accuracy of vascular tumors since it can aid in...
A randomized, double-blind, comparative study on the safety and efficacy of virgin coconut (Cocos nucifera l.) oil against 1% hydrocortisone lotion as an anti-inflammatory and antipruritic preparation for mosquito reactions
Authors: Uy, Veronica S, MD; Gracia B. Teodosio, MD, FPDS; Ma. Teresita G. Gabriel, MD, FPDS; Mary Catherine T. Galang, MD; Mohammad Yoga A. Waskito, MD; Johannes F. Dayrit, MD, FPDS Abstract Background: Virgin coconut oil (VCO) has been reported...
Primary Cutaneous Anaplastic Large Cell Lymphoma (PC-ALCL) is a rare Non-Hodgkin lymphoma (NHL) representing approximately 9% of all cutaneous lymphomas.3 It usually manifests as a slow-growing, solitary tumor which has a tendency to regress spontaneously. However, metastasis is reported in 5-10% of cases.