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Living with Keratosis follicularis

A skin condition (Darier disease) with greasy, wart-like bumps that come and go, often worse in heat and sun.

Understanding Keratosis follicularis

Keratosis follicularis, also called Darier disease, is a skin condition with wart-like blemishes on the body.

Blemishes are often yellowish, hard, greasy, and may smell. Common spots are the scalp, forehead, upper arms, chest, back, and behind the ears. Mucous membranes and nails can be affected. It usually appears from late childhood to early adulthood. It flares up and settles over time, and heat, humidity, sunlight, friction, or some medicines can make it worse.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Wart-like skin bumps
  • Itching
  • Thickened skin
  • Thick palms and soles with small pits
  • Nail changes such as red and white streaks
  • Brittle nails

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in ATP2A2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Foundation for Ichthyosis and Related Skin Types and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the ATP2A2 gene confirm the diagnosis?
How can I reduce flare-ups from heat, sun, and friction?
Which medicines might make Darier disease worse?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Dominant
GenesATP2A2

Changes in the ATP2A2 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough to cause it.

GeneticSkin

Also known as: dar; darier disease; darier-white disease; darier's disease; dyskeratosis follicularis; psorospermosis

Patient organizations

Source: NIH GARD · Keratosis follicularisGARD ID 6243 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Keratosis follicularis.

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Explore research for Keratosis follicularis

Explore actively recruiting Keratosis follicularis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Keratosis follicularis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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