A 42-year-old woman presented with histologically confirmed keratosis follicularis (Darier disease) of 9 years' duration. Clinical findings included a right submammary area of hyperkeratotic weeping papules occurring as plaques in clusters (Figure 1). The patient was most disturbed by the intense pruritus, weeping, and the related odor. There was no involvement elsewhere on her skin and no family history of Darier disease.
Roos S, Karsai S, Ockenfel H, Raulin C. Successful Treatment of Darier Disease With the Flashlamp-Pumped Pulsed-Dye Laser. Arch Dermatol. 2008;144(8):1073-1075. doi:10.1001/archderm.144.8.1073