A Case of Darier-White's Disease with Oral and Pharyngeal Involvement |
Byung Joo Kim, MD1, Chang Young Choi, MD1, Joon Bae Chun, MD1, Eun Joo Chung, MD1, Hyung Sik Shin, MD2, Keun Sung Koh, MD1, and Hyun Joon Lim, MD1 |
1;Department of Otolaryngology, 2;Pathology, Kangnam Sungsim Hospital, Hallym College, Korea |
口腔 및 咽頭粘膜에 발생한 Darier-White 氏病의 1例 |
金丙柱1 · 崔昌榮1 · 田俊培1 · 鄭恩珠1 · 申亨植2 · 高健成1 · 林顯埈1 |
翰林大學校 醫科大學 附屬 江南聖心病院 耳鼻咽喉科1;病理科2; |
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ABSTRACT |
Darier-White's disease, keratosis follicularis, is a rare keratinizing skin disorder that occasionally manifests mucosal lesions. The oral mucosa is more commonly involved than that of the uvulva, pharynx and larynx. On the oral mucosa, superficial erosion, minute white papules and hyperkeratotic plaques are evident. The cause is unknown. It is progressive in severity with age and is inherited as an autosomal dominant trait affection both sex equally. The most characteristic or diagnostic features are the peculiar benign dyskeratosis and the suprabasilar lacunar formation, which are characterized by the presence of unusual cells, corps ronds and grains. Therapy with derivatives of vitamin A, the retinoids, is known to be most effective. Recently the authors have experienced a case of Darier-White's disease in 28-year-old woman involved oral and pharyngeal mucosa.
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