Dowling-Degos Disease (Reticular Pigmented Anomaly of the Flexures)
Are You Confident of the Diagnosis? Characteristic findings on physical examination Dowling-Degos disease is characterized by asymptomatic, symmetrical hyperpigmentation that arises most commonly in the axillae and groin, but occasionally in the intergluteal or inframammary creases, genitalia, scalp, neck, and arms. The pigmentary changes are initially noted to be small round hyperpigmented macules and, less…