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 CASE REPORT
Year : 2012  |  Volume : 78  |  Issue : 3  |  Page : 358--360

Terra firma-forme dermatosis


1 Department of Dermatology, Acibadem University School of Medicine, Istanbul, Turkey
2 Department of Pathology, Acibadem University School of Medicine, Istanbul, Turkey

Correspondence Address:
Emel Erkek
Acibadem Maslak Hospital, Büyükdere Caddesi 40, Maslak 34457, Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.95455

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Terra firma-forme dermatosis is characterized by 'dirty' brown-grey cutaneous patches and plaques that can simply be eradicated by forceful swabbing with alcohol pads. The pathogenesis has been attributed to abnormal and delayed keratinization. Although affected patients present with typical lesions, the disorder is not well-known by dermatologists. In this report, we describe two patients with terra firma-forme dermatosis in the setting of xerosis cutis and atopic dermatitis. From a clinical point of view, we lay emphasis on its unique expression and diagnosis/treatment. From a histological perspective, we highlight its resemblance to dermatosis neglecta and speculate on the role of 'neglect' in a patient with seemingly adequate hygiene. The role of urea containing emollients in the development of this disorder remains to be determined.






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Online since 15th March '04
Published by Wolters Kluwer - Medknow