RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57684382
T1 Chapter 205. Genodermatoses
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57684382
RD 2024/04/19
AB A  45-year-old  black  man  presents  with  greasy  scale  over  his  face  and  large  parts  of  his  chest  and  back  (Figure  205-1).  A  previous  biopsy  was  diagnostic  for  Darier  disease.  His  mother  has  the  same  condition.  His  sister  has  the  full-blown  disease.  His  brother  has  similar  nail  findings,  but  his  skin  is  affected  only  behind  the  ears  (Figure  205-2).  The  patient  has  suffered  with  this  condition  for  his  entire  life  and  believes  that  he  has  been  ostracized  from  normal  social  life  because  of  his  appearance  and  bad  body  odor.  He  suffers  from  depression  and  has  used  various  substances  to  treat  his  pain.  Topical  steroids  provide  some  help  for  the  itching  and  scaling,  but  the  patient  is  looking  for  a  more  effective  treatment.  The  cost  of  oral  retinoids  is  currently  prohibitive,  but  an  application  has  been  put  in  for  patient  assistance  to  receive  acitretin.