History:

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.