PMC10199796_01
Confluent and reticulated papillomatosis, initial clinical presentation. Brown confluent papules and plaques on the (a) chest, (b) back, (c) left arm, and (d) right arm.
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fig1
A 26-year-old otherwise healthy African American male presented with well-circumscribed red-brown papules coalescing into reticulated plaques with minimal to no scale scattered on his neck, chest, back, antecubital fossa, and extremities (Figure 1) ongoing for the past 6 years.
Confluent and reticulated papillomatosis, 6-week follow-up. Clearance achieved after 6 weeks of oral doxycycline therapy on the (a) chest, (b) back, (c) left arm, and (d) right arm.
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fig2
A clinical diagnosis of CARP was favored, and the patient was started on doxycycline 100 mg by mouth twice daily, with significant improvement noted at six-week follow-up (Figure 2).