Confluent and reticulated papillomatosis treatment

Confluent and reticulated papillomatosis

confluent and reticulated papillomatosis treatment

Confluent and reticulated papillomatosis (CRP) of Gougerot and Carteaud Although successful treatment with topical keratolytics, retinoids.

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It usually presents as hyperkeratotic brown papules that coalesce into plaques with a reticulated periphery on the central trunk of young adults. Confluent and reticulated papillomatosis is most often clinically confused with tinea versicolor and usually does not respond to therapy with antifungals. Minocycline is the treatment of choice. All cases exhibited characteristic features of CARP on biopsy results and responded to minocycline of several months' duration. Two of the cases were also treated with adjuvant topical tazarotene.

The main treatment options for confluent and reticulated papillomatosis are antimicrobials. Confluent and reticulated.
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It is characterized by papules that become confluent in the center and reticulated at the periphery. The etiology and pathogenesis of CRP are not precisely known and there is no standard therapy for it. In the recent cases reported, treatment of choice is minocycline. Some elements in Jianpizhiyang granula were thought to have anti-inflammatory. We expect that, which always has little side-effect, will be a good choice for CRP.

With the help of electron microscopy, it has been elucidated that CRP arises due to aberrant keratinization. However, till date, there is no clear consensus on the etiologic trigger for CRP. Prevailing postulates include a bacterial trigger by Dietzia papillomatosis type strain N T , an exaggerated cutaneous response to Malassezia furfur , an endocrine basis stemming from insulin resistance, ultraviolet light-induced epidermal change, amyloid deposition, and a loss-of-function mutation in keratin CRP typically presents as asymptomatic hyperpigmented papules and plaques with peripheral reticulation over the nape, axillae, upper chest, and upper back, occasionally with extension superior to the forehead and inferior to the pubic region. Dermoscopy may be used in the evaluation of CRP, but its diagnosis is made on clinical grounds given its nonspecific histopathological findings. Although successful treatment with topical keratolytics, retinoids, or antifungals has been reported, antibiotics, such as minocycline, at anti-inflammatory doses have emerged as a preferred therapeutic option.



Confluent and reticulated papillomatosis: diagnostic and treatment challenges

An Unusual Variant of Confluent and Reticulated Papillomatosis Masquerading as Tinea Versicolor

Click on image for details. This article has been cited by 1 Confluent and reticulated papillomatosis: Successful treatment with minocycline Rao, T. Indian Journal of Dermatology, Venereology and Leprology. Home Feedback Login. Current Issue. Ahead of print. Online Submission.

Author: Vanessa Ngan, Staff Writer, Latest update Dr Thomas Stewart. Copy edited by Gus Mitchell. April Confluent and reticulated papillomatosis is an uncommon skin condition affecting the trunk, neck and axillae.

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Many different modalities have been used in the treatment of confluent and reticulated papillomatosis, with variable results. The most consistent.
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