Dariers Disease with Oral Manifestations : A Clinical Rarity : Case Report


Authors : Dr. Saurav Shankar Das; Dr. Nandini N. Krishnamurthy; Dr. Grace Mary Joseph; Dr. Shijal Narayan; Dr. Riolla Sanchia Dsouza

Volume/Issue : Volume 9 - 2024, Issue 6 - June


Google Scholar : https://tinyurl.com/4a6tp4by

Scribd : https://tinyurl.com/6ryse5mu

DOI : https://doi.org/10.38124/ijisrt/IJISRT24JUN1954

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Darier disease (DD), also known as keratosis folicularis and White disease , is an inherited autosomal dominant genodermatosis. DD often develops in childhood, persists through adolescence and causes small papules predominantly in seborrheic areas such as the face , chest and back. The oral lesions are asymptomatic and comprise multiple white papules in the buccal mucosa and the soft and hard palate , giving a cobblestone appearance. Histologically , DD is characterized by corps ronds and grains in addition to suprabasal cleavage. There are no currently validated curative treatments available for DD, with the majority of cases treated symptomatically. This is a case report of DD with varied manifestations intraorally and extraorally. Diagnosis was established on the basis of clinical , histopathological and dermatological findings. Patient reported to the OPD with a chief complaint of loose teeth. A holistic treatment approach was carried out based on clinical and histological findings. Functional and esthetic demands were met with satisfactory results.

Keywords : Dariers Disease , Extraction , Complete Denture ,Biopsy.

References :

  1. Schmieder SJ, Sathe NC, Rosario-Collazo JA. Darier Disease. 2023 Nov 30. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan
  2. Suryawanshi H, Dhobley A, Sharma A, Kumar P. Darier disease: A rare genodermatosis. J Oral Maxillofac Pathol. 2017 May-Aug;21(2):321.
  3. Alsharif SH, Alesa D, Baabdullah A. Type 1 Segmental Darier Disease: Case Report and Discussion of the Treatment Options. Case Rep Dermatol. 2020 Sep 11;12(3):159-167.
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  7. Ashok Kumar P, Paulraj S, Dutta S. Debilitating Darier's Disease and Its Impact on the Quality of Life. Cureus. 2020 May 15;12(5):e8133.
  8. McNish A, Fitz-Henley M, Ho JD. Keratosis follicularis (Darier disease). PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/skinnontumordariersdisease.html. Accessed June 29th, 2024.
  9. Manoja KG, Siriwardena BS, Jayasooriya PR, Siriwardane DJ, Tilakaratne WM. A Rare Clinical Presentation of Intraoral Darier's Disease. Case Rep Pathol. 2011;2011:181728.10.Sehgal VN, Srivastava G. Darier's (Darier-White) disease/keratosis follicularis. Int J Dermatol. 2005 Mar;44(3):184-92.

Darier disease (DD), also known as keratosis folicularis and White disease , is an inherited autosomal dominant genodermatosis. DD often develops in childhood, persists through adolescence and causes small papules predominantly in seborrheic areas such as the face , chest and back. The oral lesions are asymptomatic and comprise multiple white papules in the buccal mucosa and the soft and hard palate , giving a cobblestone appearance. Histologically , DD is characterized by corps ronds and grains in addition to suprabasal cleavage. There are no currently validated curative treatments available for DD, with the majority of cases treated symptomatically. This is a case report of DD with varied manifestations intraorally and extraorally. Diagnosis was established on the basis of clinical , histopathological and dermatological findings. Patient reported to the OPD with a chief complaint of loose teeth. A holistic treatment approach was carried out based on clinical and histological findings. Functional and esthetic demands were met with satisfactory results.

Keywords : Dariers Disease , Extraction , Complete Denture ,Biopsy.

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