Abstract
Terra firma-forme dermatosis (TFFD) is an idiopathic and uncommon disorder of keratinization in which patients present with acquired, dirt-like lesions that are resistant to washing. TFFD consists of 55% of the pediatric and 45% of the adult patients. It commonly involves neck, trunk and umbilicus. Although the affected patients present with typical lesions, the disorder is not well-known by pediatrician and dermatologists. The lesions can be easily removed with gentle swabbing with 70 % isopropyl alcohol pads. We describe a 3-month- old girl with TFFD, whose lesions started when she was one month old, therefore is the youngest patient thus far reported with this condition. Key Words: Terra firme forme dermatosis, early onset, dirty neck syndrome, acantosis nigricans
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