Clinical manifestation

Beginning as small, grayish-brown, hyperk-eratotic papules, enlarging and coalescing to form a reticular pattern peripherally and confluent plaques centrally; most commonly occurring on the trunk, face, and neck, and sparing the mucous membranes

Differential diagnosis Tinea versicolor; erythrokeratoderma variabilis; epidermodysplasia verruciformis; pityriasis rubra pilaris; acanthosis nigri-cans; dermatopathic pigmentosa reticula-ris; dyschromatosis universalis; epidermal nevus; Naegeli-Franceschetti-Jadassohn syndrome; flat warts

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