Abstract

*Dr. Nandita Patel (MBBS), Dr. Chirag Desai (MBBS) (DDVL) and Dr. Sharmila Patil (MD DDV)

ABSTRACT

A 45 years old female presented with multiple, round, light and dark coloured lesions on her body since 15 years. There were no other systemic complaints. On cutaneous examination multiple, asymptomatic, small, round, symmetrically distributed, hypopigmented to dark brown and black coloured macules were present over the neck, axilla, flexures, trunk and groins. There were also multiple, hyperpigmented papules present over the face and trunk. Additionally, multiple comedo like lesions were present over the face and nape of neck. The lesions were increasing in number with the age of the patient. The patient was a known case of hyperthyroidism for 3 years and was on treatment for the same. On detailed questioning, it was revealed that the patient had a family history for same, affecting her mother, daughter and son. Histopathological examination of the papule revealed elongated rete ridges shaped like antler horns and reticulated pattern at one focus. So a final diagnosis of Dowling Degos Disease was made on the basis of the above findings. This case is being reported for its rarity.