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Living with Dowling-Degos disease

A skin condition that causes lacy, dark patches in body folds like the armpits and groin, usually beginning in late childhood or the teens.

Understanding Dowling-Degos disease

Dowling-Degos disease is a skin condition that causes a lacy, net-like pattern of dark skin, mostly in body folds and creases.

Dark skin changes usually first appear in the armpits and groin and can spread to other folds. They typically cause no health problems. Some people also have blackhead-like spots, acne-like bumps around the mouth, pitted scars, or cysts on the scalp. Rarely there is itching or burning. Changes usually begin in late childhood or adolescence and tend to increase over time.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Lacy dark patches of skin (reticulate hyperpigmentation)
  • Freckle-like spots in the groin
  • Thickened skin (hyperkeratosis)
  • Skin changes on the neck

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing help our family?
Are there treatments for itching or burning?
How is this different from Galli-Galli disease?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Dominant

GARD says changes in a person's genes cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

GeneticSkinInherited Metabolic

Also known as: dark dot disease; dowling-degos disease type 1; reticular pigment anomaly of flexures

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Dowling-Degos diseaseGARD ID 9775 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Dowling-Degos disease.

Explore the Dowling-Degos disease blog

Explore research for Dowling-Degos disease

Explore actively recruiting Dowling-Degos disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Dowling-Degos disease with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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