Darier Disease (Keratosis Follicularis)

(Figure 2.36B, C)
  • AD, ATP2A2 gene mutation, encodes SERCA2 (sarcoendoplasmic reticulum calcium ATPase)
  • Presents with hyperkeratotic papules coalescing into warty plaques in a seborrheic distribution
  • Acrokeratosis verruciformis of Hopf: verrucous papules on dorsum of hands
  • Palmar keratosis/pits
  • Nails: red and white alternating longitudinal bands, V-shaped nicks at distal nail plate, subungual hyperkeratosis
  • Oral: cobblestoning of oral and anogenital mucosa
  • Histology: acantholysis with corp ronds and grains
   
 
dArier – 2A2
 
   


Figure 2.36 A: Retinitis pigmentosa (Reprint from Hoffman GF, Zschocke J, Nyhan WL. Inherited Metabolic Diseases. Berlin: Springer; 2010) B: Darier disease (Courtesy of Dr. Paul Getz) C: Darier disease (Courtesy of Dr. Paul Getz)
Figure 2.36
A: Retinitis pigmentosa
(Reprint from Hoffman GF,
Zschocke J, Nyhan WL.
Inherited Metabolic Diseases.
Berlin: Springer; 2010
)
B: Darier disease
(Courtesy of Dr. Paul Getz)
C: Darier disease
(Courtesy of Dr. Paul Getz)