Patient with localized keratotic lesions and revealing histologic features of dyskeratotic acantholysis have been rarely reported. There is still some controversy regarding the appropriate nosologic placement of this entity. Some believe it represent a variant of epidermal nevus, while others argue it is a genetic mosaic of generalized Darier`s Disease. We report a case of a 67-years-old man who presented with a 1-year history of pruritic, reddish-brown papules on the abdomen. The lesions resolved in the winter and again occurred in the summer months. Physical exam revealed reddish-brown papules with verrucous texture on the abdomen. There were no other cutaneous and membranous signs. Diagnosis of Darier`s Disease was histologically evident. Case Report A 67-year-old man presented with reddish-brown papules.(Fig. 1) The patient presented with a 1-year generalized pruritus (specially the abdomen. Subsequent, red papules occurred which resolved after a while. Six months later (in the summer), lesions occurred again in the same areas. Physical examination revealed papules on the abdomen, longitudinal band and slightly subungual hyperkeratosis of the left 4th fingernail. General physical examination was normal. Other family members, including his 15-year-old son and 21-year-old daughter had no problems.
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