SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferences

View all Images (91)

Confluent and reticulated papillomatosis in Adult
Other Resources UpToDate PubMed

Confluent and reticulated papillomatosis in Adult

Contributors: Elizabeth B. Wallace MD, Susan Burgin MD
Other Resources UpToDate PubMed


Confluent and reticulated papillomatosis (also known as confluent and reticulated papillomatosis of Gougerot and Carteaud or Gougerot-Carteaud syndrome) is a rare cutaneous dermatosis of undetermined etiology with clinical features resembling acanthosis nigricans and tinea versicolor. It has been speculated that the disorder may be due to an endocrine disturbance, abnormal keratinocyte differentiation and maturation, an abnormal host reaction to bacteria or fungi, or that it may be hereditary. Onset is usually at puberty, but the age range of those affected has been reported to be from 5-63 years.

It is clinically characterized by brown, hyperkeratotic or verrucous, thin papules that usually affect the upper central trunk and axillae. These papules coalesce into reticulated plaques. The lesions are usually asymptomatic but may be pruritic. The disorder typically affects young adults. While responsive to treatment, the disease is usually chronic and marked by exacerbations and remissions.

Diagnostic criteria have been proposed by Davis et al (Ann Dermatol. 2014 Jun;26[3]:409-410) due to frequent misdiagnosis of this condition and include the following: (i) clinical findings include scaly brown macules and patches, with at least some appearing reticulated and papillomatous; (ii) involvement of the upper trunk and neck; (iii) negative fungal staining of the scales; (iv) no response to antifungal treatment; and (v) excellent response to minocycline. A second research group proposed revised criteria to include clinical involvement of the flexural areas and management with antibiotics, rather than minocycline specifically.


L83 – Acanthosis nigricans

89987007 – Confluent AND reticulate papillomatosis

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

  • Acanthosis nigricans
  • Tinea versicolor
  • Seborrheic dermatitis
  • Macular amyloidosis
  • Darier disease
  • Pityriasis rubra pilaris
  • Seborrheic keratosis
  • Dermatopathia pigmentosa reticularis
  • Epidermal nevus syndrome (see Keratinocytic epidermal nevus)
  • Ashy dermatosis
  • Reticulate pigmented anomaly of flexures (reticulate pigmented anomaly of the flexures)
  • Dyskeratosis congenita
  • Erythema ab igne
  • Incontinentia pigmenti

Best Tests

Subscription Required

Management Pearls

Subscription Required


Subscription Required


Subscription Required

Last Reviewed:04/09/2017
Last Updated:05/31/2017
Copyright © 2024 VisualDx®. All rights reserved.
Confluent and reticulated papillomatosis in Adult
A medical illustration showing key findings of Confluent and reticulated papillomatosis : Pigmented plaque, Reticular configuration, Reticular - netlike, Superior chest, Upper back
Clinical image of Confluent and reticulated papillomatosis - imageId=194083. Click to open in gallery.  caption: 'A close-up of confluent scaly, hyperpigmented, ridged papules.'
A close-up of confluent scaly, hyperpigmented, ridged papules.
Copyright © 2024 VisualDx®. All rights reserved.