Gougerot and Carteaud disease typically begins on the intermammary and upper lateral trunk
as slightly scaly macules that over time spread to involve the remainder of the
trunk. In white
patients the lesions vary from skin-colored or faintly erythematous to
hyperpigmented, and in pigmented persons, lesions usually show
hyperpigmentation. There may be severe itching or the lesions may be entirely asymptomatic. The presented case is typical of this condition in a dark-complexioned 30-year-old woman.