[Facial confluent and reticulate papillomatosis (Gougerot-Carteaud syndrome) or hyperkeratotic head and neck Malassezia dermatitis?].
BACKGROUND
We report three patients with brown hyperkeratotic lesions of the face. Two cases have been published [Boralevi et al. (2006)] under the title "Hyperkeratotic Head and Neck Malassezia Dermatosis (HHNMD)". A patient recently diagnosed with confluent and reticulated papillomatosis (CRP) (Gougerot-Carteaud) allowed us to link theses two entities.


METHODS
A 56-year-old woman was followed for extensive CRP. Cultures for fungi and bacteria were negative. During the course of the disease, she developed brown hyperkeratotic dermatitis on both cheeks.


CONCLUSIONS
CRP is a rare or probably under-diagnosed condition. Brown, scaly, hyperkeratotic macules and patches are observed with a confluent and reticulated disposition. The chest and neck are generally involved, but extensive forms are possible. Facial involvement is rare. HHNMD, the disorder we earlier described, could be a facial presentation of CRP with contingent yeast colonisation. A therapeutic test with tetracyclines may be considered in HHNMD.
Pham-Ledard
A
A
Centre de référence des maladies rares de la peau, service de dermatologie, hôpital Saint-André, CHU de Bordeaux, 1, rue Jean-Burguet, 33075 Bordeaux cedex, France. lien.phamledard@gmail.com
Ezzedine
K
K
Couprie
B
B
Begueret
H
H
Boralevi
F
F
Taieb
A
A
D003881:Dermatomycoses / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008290:Malassezia; D008875:Middle Aged; D010212:Papilloma / Q000175:diagnosis*; D012878:Skin Neoplasms / Q000175:diagnosis*