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Correspondence |

Dirt-Adherent Dermatosis: Not Worth an Additional Name

Cheng Tan, MD
Arch Dermatol. 2010;146(6):679-680. doi:10.1001/archdermatol.2010.106.
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I read with great interest the article by Shan et al1 describing a patient with dirtlike lesions diagnosed as cutaneous dirt-adherent disease (CDAD).

Shan  SJXu  THLiu  J  et al.  Cutaneous dirt-adherent disease with single apparent transverse leukonychia on the fingernails. Arch Dermatol 2009;145 (9) 1070- 1071
PubMed Link to Article[[XSLOpenURL/10.1001/archdermatol.2009.208]]
Ruiz-Maldonado  RDurán-McKinster  CTamayo-Sánchez  LOrozco-Covarrubias  ML Dermatosis neglecta: dirt crusts simulating verrucous nevi. Arch Dermatol 1999;135 (6) 728- 729
PubMed Link to Article[[XSLOpenURL/10.1001/archderm.135.6.728]]
Duncan  WCTschen  JAKnox  JM Terra firma-forme dermatosis. Arch Dermatol 1987;123 (5) 567- 569
PubMed Link to Article[[XSLOpenURL/10.1001/archderm.1987.01660290031009]]
Scheinfeld  N Confluent and reticulated papillomatosis: a review of the literature. Am J Clin Dermatol 2006;7 (5) 305- 313
PubMed Link to Article[[XSLOpenURL/10.2165/00128071-200607050-00004]]
Boralevi  FMarco-Bonnet  JLepreux  SBuzenet  CCouprie  BTaïeb  A Hyperkeratotic head and neck Malassezia dermatosis. Dermatology 2006;212 (1) 36- 40
PubMed Link to Article[[XSLOpenURL/10.1159/000089020]]
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Figure 1.

Clinical photographs of the patient. A, Extensive dirtlike lesions involving the penis skin and manifesting as reticular lesions on the scrotum. B, Alcohol swabbing reveals underlying normal skin.

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Figure 2

A stepwise approach to the diagnosis of dirtlike lesions. KOH indicates potassium hydroxide; minus sign, negative; and plus sign, positive.

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