Segmental Darier's Disease Treated With Cryotherapy.

Ngoc Nguyen, Lehigh Valley Health Network
Kevin Liu DO, Lehigh Valley Health Network
Marvin Sasson MD, Lehigh Valley Health Network
Kirsten S. Bellucci MD, Lehigh Valley Health Network

Abstract

Darier's disease is characterized by pruritic keratotic papules resulting from dysfunctional keratinocyte adhesion. Segmental Darier's is a rare variant thought to be caused by a post-zygotic somatic mutation. The mainstay of treatment consists of oral and topical retinoids and corticosteroids. Other treatments include topical calcineurin inhibitors, 5-fluorouracil, vitamin D analogs, ablative lasers, and surgical excision in refractory cases. Segmental Darier's may be difficult to recognize and even more challenging to treat. Herein, we present a case of a 45-year-old female with linear segmental Darier's disease who improved significantly following treatment with cryotherapy.