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Article Synopsis
  • - Darier disease (DD) is a rare genetic skin disorder caused by mutations in the ATP2A2 gene, characterized by skin lesions, nail abnormalities, and mucosal changes.
  • - A case study of a 40-year-old woman revealed pruritic skin lesions concentrated on one side of her body, leading to a diagnosis of localized segmental DD after a biopsy showed characteristic cell changes.
  • - The condition typically appears between ages 6 and 20 and presents with crusty, itchy papules; it results from calcium imbalance and loss of cell adhesion due to impaired ATP2A2 gene function.
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Article Synopsis
  • Segmental Darier disease (DD) is a rare skin condition involving mutations in the calcium ATPase pump, with two types: type 1, which follows Blaschko's lines, and type 2, which features increased severity in generalized cases.
  • Type 1 segmental DD is challenging to diagnose due to its late onset, lack of family history, and similar features to other skin conditions like lichen planus and psoriasis.
  • The report documents two cases, highlighting symptoms, dermoscopic findings, histopathological correlations, and effective treatment with tretinoin gel for the first patient.
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A case of segmental form of type 1 mosaic Darier's disease.

Acta Dermatovenerol Alp Pannonica Adriat

March 2022

Department of Dermatovenereology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Darier's disease is a rare genetic disorder with autosomal dominant inheritance. It is characterized by hyperkeratotic papules in seborrheic areas. Associated abnormalities include nail abnormalities and changes in the mucous membranes.

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Article Synopsis
  • An 82-year-old woman developed painful skin lesions on her abdomen, initially diagnosed as Varicella-Zoster, but showed no response to antiviral treatment.
  • A skin biopsy revealed characteristics linked to acantholytic dyskeratotic acanthoma, leading to further testing.
  • Whole-transcriptome sequencing identified mutations in the ATP2A2 gene, confirming the diagnosis of segmental Darier disease and showcasing the effectiveness of RNA-Seq for accurate diagnosis.
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We present a case of sarcoidosis presenting as unilateral forearm swelling. A 65-year-old male with a long history of asthma presented with unexplained left forearm and hand swelling. Over many years, chest imaging had been devoid of adenopathy or parenchymal findings suspicious for sarcoid, until after the extremity findings emerged.

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