What is it about?

Terra firma-forme dermatosis (TFFD), also known as Duncan’s dirty dermatosis, may mimic a variety of hyperpigmented dermatoses including dermatosis neglecta, dirty neck syndrome, and acanthosis nigricans. Herein, we report a TFFD case of a 5-year-old girl who had a medical history of atopic dermatitis and presented with a hyperpigmented, dirty-appearing neck rash that was refractory to frequent moisturizer application. We successfully cleared the lesions after rubbing with 70% isopropyl alcohol. We propose a simple diagnostic algorithm to differentiate these three similar hyperpigmented dermatoses.

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Why is it important?

In our paper, we discuss a case of Terra firma-forme dermatosis in a young girl, highlighting its resemblance to other hyperpigmented conditions. We also introduce a straightforward diagnostic algorithm to help differentiate TFFD from similar dermatoses, which we hope will aid in clinical practice. We invite you to read our findings and share your thoughts!​

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This page is a summary of: Terra firma-forme dermatosis, Cosmoderma, January 2025, Scientific Scholar,
DOI: 10.25259/csdm_182_2024.
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