Confluent and reticulated papillomatosis (CARP) is an uncommon dermatosis characterized by hyperpigmented scaly macules or papillomatous papules coalescing into confluent patches or plaques centrally with a reticular pattern peripherally (picture 1A-D). It most commonly occurs on the trunk.
What is carp diagnosis?
Confluent and reticulated papillomatosis (CARP) (Gougerot-Carteaud syndrome) is a rare disorder first characterized by Gougerot and Carteaud1 in 1927. The clinical presentation of CARP is that of hyperkeratotic or verrucous brown papules that coalesce into plaques with a reticulated periphery.
What causes carp skin disorder?
The etiology of CARP is unclear; however, some suggested causes include an inherent keratinization disorder, an endocrinopathy, a reaction to UV light, a reaction to Pityrosporum, and a genetic factor. Clinically, CARP can present with hyperkeratotic papules or patches that coalesce to form a reticular pattern.
How do you treat carp skin disease?
The disorder can initially manifest as hyperkeratotic or verrucous papules that coalesce to form a reticular pattern peripherally and confluent plaques centrally. Although a variety of treatments for CARP exist, oral minocycline 50-100mg twice daily has been the preferred treatment.
What causes CRP skin disorder?
Confluent and reticulated papillomatosis (CRP), also known as Gougerot-Carteaud syndrome, is caused by disordered keratinization. It presents with asymptomatic hyperpigmented papules that can coalesce into plaques and are typically located on the upper trunk and neck of teens and young adults.
What is CRP skin disorder?
Confluent and Reticulated Papillomatosis (CRP) is a skin disorder that is benign but causes significant patient distress because of its disfiguring lesions. Conservative treatment is not usually successful or even acceptable.
How is reticulated papillomatosis treated?
Successful treatment of confluent and reticulated papillomatosis has been reported with topical mupirocin. Another therapeutic option in confluent and reticulated papillomatosis may be tazarotene gel. The treatment was well tolerated and may be an alternative to systemic retinoid therapy.
What causes terra firma forme dermatosis?
Terra firma-forme dermatosis is thought to be a disorder of keratinisation caused by abnormal and delayed development of skin cells. Adhesion between keratinocytes is prolonged, with retention of melanin, sebum, and microorganisms, causing the formation brown patches and thickened plaques [3].
What is carp rash?
Confluent and reticulated papillomatosis (CARP), also known as Gougerot-Carteaud syndrome, is an uncommon papulosquamous eruption of unknown etiology. It has been hypothesized that CARP may result from a disorder of keratinization,1 an endocrine imbalance,2 or an abnormal immune response to bacteria or fungi.
How do you get papillomatosis skin?
Confluent and reticulated papillomatosis (CRP) is a skin disorder that appears to arise due to dysregulation of skin cell turnover. The etiology has been studied for several decades.
What is reticulated papillomatosis?
Confluent and reticulated papillomatosis is a rare disease typically affecting young persons. Confluent and reticulated papillomatosis is characterized by grayish blue hyperkeratotic papules, usually located on the trunk. The lesions coalesce to form confluent plaques centrally and a reticular pattern peripherally.
Does Carp go away?
CARP can be difficult to treat and can recur after treatment discontinuation. Occasionally, there is spontaneous resolution that occurs over the course of several months to several years.
What are the side effects of taking minocycline?
Common side effects of Minocin include:
nausea,vomiting,upset stomach,diarrhea,lightheadedness,dizziness,spinning sensation,unsteadiness,
Is doxycycline an antibiotic?
Doxycycline: antibiotic to treat bacterial infections – NHS.
What is confluent lesion?
CONFLUENT – Joining or running together. Example: Pruritic urticarial papules and plaques of pregnancy. CRESCENTIC – Shaped like a crescent moon (the moon in its first quarter). Example:Erythema marginatum. DISCRETE – Separate, distinct lesions that are not joined to one another.