Darier's disease, also known as Darier-White disease or keratosis follicularis, is a rare genetic skin disorder that affects the skin, nails, and mucous membranes. It is characterized by the formation of small, rough bumps on the skin, particularly in areas such as the scalp, forehead, chest, and back. These bumps, called papules, can be yellowish or brownish in color and may have a greasy or warty appearance.
Darier's disease is caused by a mutation in a specific gene that is involved in the production of a protein called desmoplakin, which helps to maintain the structure and integrity of skin cells. The mutation leads to a faulty desmoplakin protein, resulting in abnormal cell adhesion and the formation of the characteristic skin lesions.
In addition to skin abnormalities, individuals with Darier's disease may also experience nail abnormalities, such as ridges, pitting, or splitting, as well as mucous membrane involvement, leading to symptoms like white patches or sores in the mouth, throat, or genital area.
While there is no cure for Darier's disease, treatment aims to manage the symptoms and prevent complications. This may include the use of topical medications, oral retinoids, or other therapies to reduce inflammation and control bacterial or fungal infections. Regular skin care and sun protection are also important to minimize flare-ups and maintain skin health.