Rwanda Medical Journal (Jun 2022)

Darier-White Disease with Sensorineural Hearing Loss – A Case Report

  • E. B. Henshaw,
  • H. J. Ekpenyong,
  • L. E. Okafor

DOI
https://doi.org/10.4314/rmj.v79i2.1
Journal volume & issue
Vol. 79, no. 2
pp. 11 – 15

Abstract

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Darier-White disease (keratosis follicularis) is a rare autosomal dominant genodermatosis characterized by hyperkeratotic papules and plaques in seborrheic areas, often presenting with nail abnormalities and occasionally mucous membrane changes. It has been associated with neurocognitive/psychiatric disorders, ankylosing spondylitis, hidradenitis suppurativa and nephritis. Affected individuals also have an increased tendency to cutaneous infections. However, a thorough literature search showed no association with sensorineural hearing loss. We herein report the case of a 34-year-old Nigerian man with disfiguring Darier-White disease (DWD) associated with spondyloarthropathy and sensorineural hearing loss. We affirm that early diagnosis, prompt and appropriate therapy and adequate patient education can avert undesirable outcomes.

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