Diagnosis: Darier's disease
Description: Nail dystrophy and red and white lines
Morphology: Papules
Site: Nails
Sex: F
Age: 65
Type: Clinical
Submitted By: Ian McColl
Differential DiagnosisHistory:
Patient with Darier's disease
Dariers often involves the skin folds as well, particularly the groin creases and under the breasts in women. As a red scaly disease it comes under the small s of solar, scabies and syndromes in the mnemonic. Treatment is best with oral retinoids plus treat infection for both candida and bacterial. A strong topical steroid cream helps as well for flares.