Patient 189


In a 43-year-old man, on the back (years of evolution)
What to see at dermoscopy:
-erythema
-giant comedo-like openings (circle)
-giant milia-like cysts
-scaly surface
Dermoscopy in favor of Darier´s disease and histopathology confirmed the diagnosis.
Comments:variable vascular structures (red dots, red lines or erythema) associated with giant comedo-like openings were previous demonstrated as dermoscopic pattern in patients with Darier´s disease.
For more information read: Vázquez-López F et al in “The handheld dermoscope improves the recognition of giant pseudocomedones in Darier´s disease. 2004. J Am Acad Dermatol 50(3): 454-455

