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Terra firma-forme dermatosis may mimic a variety of hyper pigmented dermatoses. The diagnosis can be characterized using dermoscopy and confirmed with the SMART (Skin Modified by Alcohol Rubbing Test) evaluation. When terra firma-forme dermatosis (Duncan's dirty dermatosis) is clinically suspected, clearance of the dermatosis follows rubbing the affected skin with 70% isopropyl alcohol.doi:10.5070/d3226031331 fatcat:xsbpqkklqfbbpp3jo3zpikcqzi