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Darier's disease

 
Dental Dictionary: Darier’s disease

n.pr
keratosis follicularis

An apparently genetic dermatologic disease that also involves mucous membranes. The oral lesions are whitish papules of the gingiva, tongue, or palate. Darier’s disease is characterized histologically by the presence of corps ronds.

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Medical Dictionary: keratosis fol·lic·u·lar·is
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(fə-lĭk'yə-lâr'ĭs)
n.

A hereditary eruptive skin disorder, beginning usually in childhood, in which keratotic papules originating from the hair follicles coalesce to form crusty and warty patches. Also called Darier's disease.

WordNet: keratosis follicularis
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Note: click on a word meaning below to see its connections and related words.

The noun has one meaning:

Meaning #1: a rare hereditary condition marked by dark crusted patches (sometimes containing pus)
  Synonym: Darier's disease


Wikipedia: Darier's disease
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Darier's disease
Classification and external resources
ICD-10 Q82.8 (ILDS Q82.868)
ICD-9 757.39
OMIM 124200
DiseasesDB 3467
eMedicine derm/209
MeSH [1]

Darier's disease (also known as "Darier-White disease," and "Keratosis follicularis"[1]:523[2]:567) is a genetic disorder discovered by French dermatologist Ferdinand-Jean Darier. Darier's is characterized by dark crusty patches on the skin, sometimes containing pus. The crusty patches are also known as keratotic papules, keratosis follicularis or dyskeratosis follicularis.[3]

Contents

Genetics

Darier's is an autosomally dominant inherited mutation in the gene ATP2A2.[4] Family members with confirmed identical ATP2A2 mutations can exhibit differences in the clinical severity of disease, suggesting that other genes or environmental factors affect the expression of Darier's disease. With the discovery of the ATP2A2 gene, performing genetic tests to confirm the diagnosis of Darier's disease is now possible.

Presentation

It affects both group c2 men and women and is not contagious. The disease often starts during or later than the teenage years, typically by the third decade. The symptoms of the disease are thought to be caused by an abnormality in the desmosome-keratin filament complex leading to a breakdown in cell adhesion.

It most commonly affects the chest, neck, back, ears, forehead, and groin, but may involve other body areas. The rash associated with Darier's disease often has a distinct odor. The rash can be aggravated by heat, humidity, and exposure to sunlight.

Treatment

Treatment of choice for severe cases is oral retinoids. During flares, topical or oral antibiotics may be administered. Ciclosporin and topical corticosteroids have been used during acute flares. Some patients are able to prevent flares with use of topical sunscreens and oral vitamin C.[5]

See also

References

  1. ^ Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. ISBN 0071380760.
  2. ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0721629210.
  3. ^ National Organization for Rare Disorders (2002). NORD Guide to Rare Disorders. Lippincott Williams & Wilkins. ISBN 0781730635. 
  4. ^ Sakuntabhai A, Burge S, Monk S, Hovnanian A (September 1999). "Spectrum of novel ATP2A2 mutations in patients with Darier's disease". Hum. Mol. Genet. 8 (9): 1611–9. doi:10.1093/hmg/8.9.1611. PMID 10441323. http://hmg.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=10441323. 
  5. ^ Andrew's Diseases of the Skin (James, Berger, Elston, 10th ed., Saunders Elsevier, 2006)
  6. ^ Lippincott's Illustrated Reviews: Biochemistry (Champe, Harvey & Ferrier, ISBN 0781722659, 3rd ed., Lippincott Williams & Wilkins 2005)

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Copyrights:

Dental Dictionary. Mosby's Dental Dictionary. Copyright © 2004 by Elsevier, Inc. All rights reserved.  Read more
Medical Dictionary. The American Heritage® Stedman's Medical Dictionary Copyright © 2002, 2001, 1995 by Houghton Mifflin Company Read more
WordNet. WordNet 1.7.1 Copyright © 2001 by Princeton University. All rights reserved.  Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Darier's disease" Read more