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2025, Number 1

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Rev Cent Dermatol Pascua 2025; 34 (1)

Papular acantholytic dyskeratosis of the genitocrural area

González GM, Vences CM, Segundo LLD
Full text How to cite this article 10.35366/123127

DOI

DOI: 10.35366/123127
URL: https://dx.doi.org/10.35366/123127

Language: Spanish
References: 13
Page: 28-31
PDF size: 2310.01 Kb.


Key words:

dyskeratosis, acantholytic cells, genitocrural area.

ABSTRACT

Papular acantholytic dyskeratosis of the genitocrural area is an uncommon dermatosis encompassed by the pattern called "focal acantholytic dyskeratosis". It occurs predominantly in females between the second and fourth decades of life, and the etiology is still unknown. Clinically, it presents as skin-colored papular lesions with a tendency to coalesce and form plaques in the inguinal, genital and perianal regions. These lesions are generally asymptomatic. Diagnosis is made through histopathology, and Darier disease and Hailey-Hailey disease must be ruled out. Treatment is symptomatic. We present the case of a 45-year-old female who was successfully treated with a topical calcineurin inhibitor.


REFERENCES

  1. Ackerman AB. Focal acantholytic dyskeratosis. Arch Dermatol. 1972; 106: 702-706.

  2. Montis-Palos MC, Acebo-Mariñas E, Catón-Santarén B, Soloeta-Arechavala R. Dermatosis acantolítica papular del área genitocrural: ¿forma localizada de Darier o Hailey-Hailey? Actas Dermo-Sifiliogr. 2013; 104: 170-172.

  3. Sáenz AM, Cirocco A, Avendaño M, González F, Sardi JR. Papular acantholytic dyskeratosis of the vulva. Pediatr Dermatol. 2005; 22: 237-239. doi: 10.1111/j.1525-1470.2005.22312.x.

  4. Díaz Granados Cruz L de M, Escobar Valencia C, Ospina JP. Lesiones pruriginosas en la vulva en una mujer de 24 años. 2015; 23: 153-155. Disponible en: https://bibliotecadigital.udea.edu.co/entities/publication/5f3e73ab-5841-4175-a952-b54985b94034

  5. Pernet C, Bessis D, Savignac M, Tron E, Guillot B, Hovnanian A. Genitoperineal papular acantholytic dyskeratosis is allelic to Hailey-Hailey disease. Br J Dermatol. 2012; 167: 210-212.

  6. Hadjicharralambous E, Diamond S, Mehregan D. Papular acantholytic dyskeratosis of vulva in setting of Hailey-Hailey. Int J Dermatol. 2017; 56: e126-e128. doi: 10.1111/ijd.12486.

  7. Verma SB. Papular acantholytic dyskeratosis localized to the perineal and perianal area in a young male. Indian J Dermatol. 2013; 58: 393-395. doi: 10.4103/0019-5154.117317.

  8. Flores-Terry MA, Zamberk Majlis P, Franco-Muñoz M, Vera-Iglesias E, García-Arpa M, Martín-Dávila F. Dermatosis papular acantolítica de la vulva con buena respuesta a tacrólimus tópico. Dermatol Online J. 2017; 23. doi: 10.5070/d3234034639.

  9. Patterson JW. Weedons Skin Pathology. Capítulo 10. Desordenes de la maduración epidérmica y queratinización. Quinta edición. Elsevier; 2020. p. 963-965.

  10. Browne F, Keane H, Walsh M, Maw R. Papular acantholytic dyskeratosis presenting as genital warts. Int J STD AIDS. 2007; 18: 867-868.

  11. Novales J, Rodríguez M, Estrada I. Enfermedad de Darier. Presentación de un caso. Rev Cent Dermatol Pascua. 2007; 16: 14-18.

  12. Acar MR, Garibay AR, Ferra DS. Pénfigo benigno familiar (Enfermedad de Hailey-Hailey). Rev Cent Dermatol Pascua. 2009; 18: 25-30.

  13. Dittmer CJ, Hornemann A, Rose C, Diedrich K, Thill M. Successful laser therapy of a papular acantholytic dyskeratosis of the vulva: case report and review of literature. Arch Gynecol Obstet. 2010; 281: 723-725.




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Rev Cent Dermatol Pascua. 2025;34