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Images in paediatrics
Terra Firma-Forme Dermatosis: it's easy when you know it
  1. Anna Ratcliffe1,
  2. Diane Williamson2,
  3. 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}

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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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  • Contributors All three authors have contributed significantly to the article. MH had the idea for the article. MH and DW identified and managed the case. AR and DW conducted the literature search and AR and MH wrote the article. MH takes responsibility for the overall content as a guarantor.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.