Reticulate pigmented anomaly of the flexures and seborrhoeic warts.

Abstract

Dowling Degos Disease was described by Wilson‐Jones and Grice (1978) as a single disease with a variable clinical presentation, ranging from patients with reticulate pigmentation only, to those with reticulate pigmentation and follicular lesions as the main manifestations. More recently Rebora & Crovato (1984) have suggested that Dowling Degos Disease is only one facet of a more extensive and complex genodermatosis, including Haber's Syndrome and Kitamura's acropigmentio reticularis. We report a case of a 67‐year‐old housewife with Dowling Degos Disease who also had numerous large seborrhoeic warts particularly around her neck, where they were confluent. Two other members of her family also had the characteristic pigmentation and many large seborrhoeic warts. We feel that this may represent an association of seborrhoeic warts and Dowling Degos Disease. The presence of this condition in four generations confirms the autosomal dominant inheritance reported by Brown (1982).