KMID : 0032220130250030360
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Annals of Dermatology 2013 Volume.25 No. 3 p.360 ~ p.364
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Generalized Dowling-Degos Disease: Case Reports
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Wititsuwannakul Jade
Noppakun Nopadon
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Abstract
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Dowling-Degos disease (DDD) is a rare autosomal dominant trait characterized by numerous, symmetrical, progressive and pigmented macules over the axillae, groins, face, neck, arms and trunk as well as scattered comedo-like lesions (dark dot, follicles) and pitted acneiform scars. Histopathology is diagnostic testing using a distinctive form of acanthosis, characterized by an irregular elongation of thin branching rete ridges, with a concentration of melanin at the tips. We report cases of generalized DDD in a single family with autosomal dominant penetrance. DDD can be presented in a generalized form with hypopigmented lesions instead of reticulate hyperpigmentation confined to the flexor areas. This form can be differentiated from DUH by histopathology. (Ann Dermatol 25(3) 360¡364, 2013)
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KEYWORD
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Dowling-Degos disease, Pigmentary disorder, Reticulate
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