To the Editor.—
The article in the Archives by Dr. Harold Fishman reporting a case of acute eruptive Darier disease1 is as interesting as it is curious. If in fact his patient had Darier disease, it would be, as Dr. Fishman says, very unusual. It seems more likely that his patient had transient acantholytic dermatosis,2 which is manifested by the same clinical and histological findings as those reported by Fishman. Inasmuch as the lesions were clinically follicular, it is possible that the patient had folliculitis with focal acantholytic dyskeratosis.3 No follicle was presented in the article. Finally, we were not given any information about the patient's medical history (state of health, medications, routine or occasional topical skin care, etc). In view of the patient's benign course, his seeming response to fluocinonide (Lidex) cream, and the fact that other entities were not excluded, it seems presumptuous to accept
Sherwin L. Acute Eruptive Darier Disease. Arch Dermatol. 1975;111(9):1215. doi:10.1001/archderm.1975.01630210131024
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