Darier's follicular dyskeratosis

نویسندگان

چکیده

Darier's follicular dyskeratosis (synonym: Dariers disease, DarierWhites disease) is a rare genetic disease with an autosomal dominant type of inheritance, which belongs to the group acantholytic dermatoses and characterized by violation keratinization processes lesions skin, nails, mucous membranes oral cavity genitals. caused mutation in ATP2A2 gene. This disrupts operation SERCA2 pump leads calcium homeostasis keratinocytes decrease intercellular adhesion. manifested brownish papules seborrheic intertriginal areas keratotic surface, can merge into macerated plaques. Typical nail changes include red white longitudinal stripes ending V-shaped notches on free edge plates. Warty acrokeratosis, as well bullous, hemorrhagic, comedonic linear-segmental types are clinical variants disease. often associated neuropsychiatric disorders. Exacerbation may be superinfection Staphylococcus aureus or herpes simplex virus. Histology Darieres pronounced dyskeratosis. For local therapy, keratolytic agents important, antiseptic treatment avoid superinfection. In addition, corticosteroids used. Among systemic methods treatment, retinoids most effective. Ablative (dermabrasion, CO2 laser, Er:YAG laser) effective limited areas.

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ژورنال

عنوان ژورنال: Consilium medicum

سال: 2022

ISSN: ['2075-1753', '2542-2170']

DOI: https://doi.org/10.26442/20751753.2022.8.201830