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Case Report | Volume 18 Issue 2 (Apr-Jun, 2025) | Pages 90 - 96
A rare case report of overlap of reticulate acropigmentation of kitamura with early onset dowling-degos disease
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1
Postgraduate Resident Department of Dermatology , Pt. Jawahar Lal Nehru Memorial Government Medical College, Raipur, Chhattisgarh
2
Assistant professor Department of Dermatology , Pt. Jawahar Lal Nehru Memorial Government Medical College, Raipur, Chhattisgarh
3
Associate professor Department of Dermatology , Pt. Jawahar Lal Nehru Memorial Government Medical College, Raipur, Chhattisgarh
4
Professor Department of Dermatology , Pt. Jawahar Lal Nehru Memorial Government Medical College, Raipur, Chhattisgarh
Under a Creative Commons license
Open Access
Received
May 25, 2025
Revised
May 30, 2025
Accepted
June 6, 2025
Published
June 8, 2025
Abstract

Dowling-Degos disease (DDD) and Reticulate Acropigmentation of Kitamura (RAPK) are two distinct groups of rare genodermatoses, which fall under an umbrella of reticulate pigmentory dermatoses. Both are inherited as autosomal dominant trait with variable penetrance. Few studies have described DDD and RAPK in a single patient hypothesising that two conditions belong to a single complex disease. We describe a 32 years old male patient with hyperpigmented macules on neck, axillae, chest, lower back, forearms, hands and feet along with palmar pits and acneiform scars over face and comedo-like lesions over back since 10 years of age. The idea that both DDD and RAPK are distinct aspects of a single entity with variable phenotypic expression is further strengthened as our patient had features of both conditions. In addition, our patient had early onset DDD which is a rare feature.

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