Darier disease: the use of dermoscopy in monitoring acitretin treatment

Abstract Darier disease is an uncommon autosomal dominant inherited disease, caused by a mutation in the ATP2A2 gene. The clinical findings are hyperkeratotic papules on the trunk, scalp, face, and neck, maceration of intertriginous areas, palmar pits, whitish papules on the oral mucosa and nail abn...

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Main Authors: Catalina Silva-Hirschberg, Raúl Cabrera, María Paz Rollán, Alex Castro
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2022-09-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962022000500644&tlng=en
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author Catalina Silva-Hirschberg
Raúl Cabrera
María Paz Rollán
Alex Castro
author_facet Catalina Silva-Hirschberg
Raúl Cabrera
María Paz Rollán
Alex Castro
author_sort Catalina Silva-Hirschberg
collection DOAJ
description Abstract Darier disease is an uncommon autosomal dominant inherited disease, caused by a mutation in the ATP2A2 gene. The clinical findings are hyperkeratotic papules on the trunk, scalp, face, and neck, maceration of intertriginous areas, palmar pits, whitish papules on the oral mucosa and nail abnormalities. The main histopathologic findings are acantholysis and dyskeratotic keratinocytes. Dermatoscopic features are comedo-like openings with a central polygonal yellowish/brownish structure, surrounded by a whitish halo. First-line treatment includes acitretin. Five reports have been published describing Darier disease dermatoscopic findings. Herein, we report for the first time a patient under acitretin treatment and dermatoscopic follow-up.
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spelling doaj.art-f01ffd110d2d4b06870e694c6ec7c6392022-12-22T02:26:02ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962022-09-0197564464710.1016/j.abd.2021.05.021Darier disease: the use of dermoscopy in monitoring acitretin treatmentCatalina Silva-Hirschberghttps://orcid.org/0000-0002-4276-1284Raúl Cabrerahttps://orcid.org/0000-0002-0180-9130María Paz Rollánhttps://orcid.org/0000-0003-0282-9288Alex Castrohttps://orcid.org/0000-0003-4431-5293Abstract Darier disease is an uncommon autosomal dominant inherited disease, caused by a mutation in the ATP2A2 gene. The clinical findings are hyperkeratotic papules on the trunk, scalp, face, and neck, maceration of intertriginous areas, palmar pits, whitish papules on the oral mucosa and nail abnormalities. The main histopathologic findings are acantholysis and dyskeratotic keratinocytes. Dermatoscopic features are comedo-like openings with a central polygonal yellowish/brownish structure, surrounded by a whitish halo. First-line treatment includes acitretin. Five reports have been published describing Darier disease dermatoscopic findings. Herein, we report for the first time a patient under acitretin treatment and dermatoscopic follow-up.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962022000500644&tlng=enAcitretinDarier diseaseDermoscopyRetinoidsTherapy
spellingShingle Catalina Silva-Hirschberg
Raúl Cabrera
María Paz Rollán
Alex Castro
Darier disease: the use of dermoscopy in monitoring acitretin treatment
Anais Brasileiros de Dermatologia
Acitretin
Darier disease
Dermoscopy
Retinoids
Therapy
title Darier disease: the use of dermoscopy in monitoring acitretin treatment
title_full Darier disease: the use of dermoscopy in monitoring acitretin treatment
title_fullStr Darier disease: the use of dermoscopy in monitoring acitretin treatment
title_full_unstemmed Darier disease: the use of dermoscopy in monitoring acitretin treatment
title_short Darier disease: the use of dermoscopy in monitoring acitretin treatment
title_sort darier disease the use of dermoscopy in monitoring acitretin treatment
topic Acitretin
Darier disease
Dermoscopy
Retinoids
Therapy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962022000500644&tlng=en
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AT raulcabrera darierdiseasetheuseofdermoscopyinmonitoringacitretintreatment
AT mariapazrollan darierdiseasetheuseofdermoscopyinmonitoringacitretintreatment
AT alexcastro darierdiseasetheuseofdermoscopyinmonitoringacitretintreatment