0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Terra Firma-Forme Dermatosis

W. Christopher Duncan, MD; Jaime A. Tschen, MD; John M. Knox, MD
Arch Dermatol. 1987;123(5):567-569. doi:10.1001/archderm.1987.01660290031009.
Text Size: A A A
Published online

To the Editor.—  We report a unique, readily diagnosable dermatosis of children and young adults that we have recognized for the past ten to 12 years. Although generally considered a nuisance cosmetic condition, it has occasionally confounded dermatologists and triggered expensive endocrinologic evaluations.The initial cases were of young children who were brought in by distraught mothers with the vexing problem of "I can't wash the dirt off!" Examination revealed what, indeed, appeared to be dirty-appearing skin, usually around the neck, but sometimes on the arms or trunk. The children woefully recounted their discomfort due to their mother's efforts to scrub their necks clean. The clinical differential diagnoses include pityriasis (tinea) versicolor, Gougerot and Carteaud's reticular and confluent papillomatosis, acanthosis nigricans, pseudoacanthosis nigricans, epidermolytic hyperkeratosis, hyperkera-tosis of the nipple and areola,1 and idiopathic deciduous skin.2The diagnosis is made with a single wipe of the affected area using an alcohol-soaked cotton ball. The "dirt" wipes away, revealing sparkling clean skin beneath, to the chagrin of any (especially maternal) observers.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();