Menu Close

What causes confluent and reticulated papillomatosis?

What causes confluent and reticulated papillomatosis?

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.

Does confluent and reticulated papillomatosis go away?

Confluent and reticulated papillomatosis is most often clinically mistaken for tinea versicolor and usually does not respond to therapy with antifungals. A variety of topical and oral therapies exist, but minocycline is the current treatment of choice. Despite therapy, recurrence is possible.

How long does confluent and reticulated papillomatosis last?

Recurrence in up to 15% of cases usually follows non-antibacterial treatment. Spontaneous resolution has been reported in a few cases but it may take up to 39 months for the eruption to clear up [30].

Is confluent and reticulated papillomatosis rare?

Background: Confluent and reticulated papillomatosis (CARP), also known as Gougerot-Carteaud syndrome, is a rare disorder. It usually presents as hyperkeratotic brown papules that coalesce into plaques with a reticulated periphery on the central trunk of young adults.

Does CARP go away?

Treatment. The treatment of choice for CARP is 2 months of therapy with minocycline or doxycycline, which are effective in most patients.

What causes CARP on skin?

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 papillomatosis?

One of the most common antiviral medications that have been used to treat individuals with recurrent respiratory papillomatosis is Cidofovir. This drug is an adjuvant therapy that is injected directly into the lesions (intralesional).

Does CARP ever go away?

How do you treat confluent and reticulated papillomatosis naturally?

Confluent and reticulated papillomatosis is strictly a disorder of the skin that results in cosmetic disfigurement, with no adverse systemic effects; therefore, no treatment is necessary other than for eradication of the rash (see Medication).

How do you get rid of confluent and reticulated papillomatosis naturally?

Does confluent and reticulated papillomatosis itch?

It commonly originates in the chest or upper mid back. Less commonly it can affect the face, flexural areas, and groin. CARP is benign and usually asymptomatic, but may cause some mild itching. Given the close similarity in morphology and anatomical distribution, CARP is commonly misdiagnosed as tinea versicolor.

What is reticulated papillomatosis?

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.

How do you treat confluent and reticulated papillomatosis?

The most consistently effective treatment for confluent and reticulated papillomatosis, and the only one evaluated by retrospective and prospective studies, has been oral antibiotics. Successful treatment of confluent and reticulated papillomatosis has been reported with topical mupirocin.