Approach to Dirt Like Dermatoses-Original Case Series

Dirt like dermatoses is an under-reported entity. A vast number of dermatoses such as Acanthosis nigricans, Terra firma-forme, confluent and reticulated papillomatosis, dermatitis neglecta, pityriasis versicolor, Atopic dermatitis, x-linked ichthyosis comes under the umbrella term "Dirt like Dermatoses". Patients present with hyperpigmented plaque with or without associated symptoms. Dirt like dermatoses is usually a diagnosis of exclusion. In this article we present 6cases of dirt-like lesions which include 2 cases of terra firma forme, one Confluent and reticulated papillomatosis, one case of adult onset atopic eczema and 2 cases of post inflammatory hyperpigmentation secondary to Miliaria Rubra. This article lays out the approach for a case presenting with dirt-like lesions.