Unraveling Dowling–Degos Disease: A Rare Skin Disorder

ABSTRACT Dowling–Degos disease (DDD) is a rare genodermatosis characterized by brown to black macules distributed symmetrically in the axilla, groin, elbow, face, neck, and trunk. It is more common in women, usually after puberty. The main pathogenesis behind DDD is a mutation in the keratin 5 gene....

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Main Authors: Mahesh Mathur, Neha Thakur, Supriya Paudel, Sambidha Karki, Sandhya Regmi, Nabita Bhattarai
Format: Article
Language:English
Published: Wiley 2025-07-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.70643
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author Mahesh Mathur
Neha Thakur
Supriya Paudel
Sambidha Karki
Sandhya Regmi
Nabita Bhattarai
author_facet Mahesh Mathur
Neha Thakur
Supriya Paudel
Sambidha Karki
Sandhya Regmi
Nabita Bhattarai
author_sort Mahesh Mathur
collection DOAJ
description ABSTRACT Dowling–Degos disease (DDD) is a rare genodermatosis characterized by brown to black macules distributed symmetrically in the axilla, groin, elbow, face, neck, and trunk. It is more common in women, usually after puberty. The main pathogenesis behind DDD is a mutation in the keratin 5 gene. Here, we present a case of 51‐year‐old female presenting as asymptomatic brownish‐black lesions arranged in a reticular pattern involving flexural sites. The clinical and histopathological findings are consistent with DDD. Her mother, brother, son, and daughter also had similar lesions. The patient was counseled about the prognosis and treatment options of the disease.
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institution Kabale University
issn 2050-0904
language English
publishDate 2025-07-01
publisher Wiley
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spelling doaj-art-61e3d4c798364bcbb97e188b8ca63f602025-08-21T03:19:25ZengWileyClinical Case Reports2050-09042025-07-01137n/an/a10.1002/ccr3.70643Unraveling Dowling–Degos Disease: A Rare Skin DisorderMahesh Mathur0Neha Thakur1Supriya Paudel2Sambidha Karki3Sandhya Regmi4Nabita Bhattarai5Department of Dermatology College of Medical Sciences Teaching Hospital Bharatpur NepalDepartment of Dermatology College of Medical Sciences Teaching Hospital Bharatpur NepalDepartment of Dermatology College of Medical Sciences Teaching Hospital Bharatpur NepalDepartment of Dermatology College of Medical Sciences Teaching Hospital Bharatpur NepalDepartment of Dermatology College of Medical Sciences Teaching Hospital Bharatpur NepalDepartment of Dermatology College of Medical Sciences Teaching Hospital Bharatpur NepalABSTRACT Dowling–Degos disease (DDD) is a rare genodermatosis characterized by brown to black macules distributed symmetrically in the axilla, groin, elbow, face, neck, and trunk. It is more common in women, usually after puberty. The main pathogenesis behind DDD is a mutation in the keratin 5 gene. Here, we present a case of 51‐year‐old female presenting as asymptomatic brownish‐black lesions arranged in a reticular pattern involving flexural sites. The clinical and histopathological findings are consistent with DDD. Her mother, brother, son, and daughter also had similar lesions. The patient was counseled about the prognosis and treatment options of the disease.https://doi.org/10.1002/ccr3.70643Dowling–Degos diseasegenodermatosishistopathologykeratin 5 gene
spellingShingle Mahesh Mathur
Neha Thakur
Supriya Paudel
Sambidha Karki
Sandhya Regmi
Nabita Bhattarai
Unraveling Dowling–Degos Disease: A Rare Skin Disorder
Clinical Case Reports
Dowling–Degos disease
genodermatosis
histopathology
keratin 5 gene
title Unraveling Dowling–Degos Disease: A Rare Skin Disorder
title_full Unraveling Dowling–Degos Disease: A Rare Skin Disorder
title_fullStr Unraveling Dowling–Degos Disease: A Rare Skin Disorder
title_full_unstemmed Unraveling Dowling–Degos Disease: A Rare Skin Disorder
title_short Unraveling Dowling–Degos Disease: A Rare Skin Disorder
title_sort unraveling dowling degos disease a rare skin disorder
topic Dowling–Degos disease
genodermatosis
histopathology
keratin 5 gene
url https://doi.org/10.1002/ccr3.70643
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