Arch Dis Child doi:10.1136/archdischild-2012-303499
  • Images in paediatrics

Terra Firma-Forme Dermatosis: it's easy when you know it

  1. Markus Hesseling1
  1. 1Department of Paediatrics, Glan Clwyd Hospital, Bodelwyddan, North Wales, UK
  2. 2Department of Dermatology, Glan Clwyd Hospital, Bodelwyddan, North Wales, UK
  1. Correspondence to Dr Markus Hesseling, Department of Paediatrics, Glan Clwyd Hospital, Sarn Lane, Bodelwyddan, North Wales LL18 5UJ, UK; markus.hesseling{at}
  • Received 5 December 2012
  • Revised 23 January 2013
  • Accepted 23 January 2013
  • Published Online First 14 February 2013

A 10-year-old boy presented to the outpatient department with pigmented plaques behind his ears and on his right forearm (see figures 1 and 2). He was asymptomatic and his hygiene was very good. Dermatology review of the photographs suggested a diagnosis of Terra Firma-Forme Dermatosis and a recommendation to use alcohol wipes was made. On contacting the family his mother reported …

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