PMC4166657_01
Hyperkeratotic dark papules on the neck.
CRIPE2014-831398.001.jpg
PMC4166657_01_CRIPE2014-831398.001.jpg
fig1
In her examination, hyperkeratotic papules in 0.3 x 0.5 cm dimensions were detected, being hard with palpation, presented on a postauricular area, and ranging in length from neck and covering the scalp and ears (Figure 1).
Skin biopsy showing hyperkeratosis, dyskeratosis, papillomatosis, suprabasal acantholysis, and dermal chronic inflammatory infiltrate (H&E x100).
CRIPE2014-831398.002.jpg
PMC4166657_01_CRIPE2014-831398.002.jpg
fig2
On histopathological examination; hyperkeratosis, dyskeratosis, papillomatosis, suprabasal acantholysis, and dermal chronic inflammatory infiltrate were seen and Darier's disease was confirmed (Figure 2).