Papular acantholytic dyskeratosis presenting as genital warts

A 24-year-old woman presented with genital warts which did not respond to treatment. Biopsy confirmed changes in keeping with a diagnosis of Darier's disease. The patient, however, had no other manifestations of Darier's disease, i.e. family history of skin disease, nail changes or other skin site involvement. We propose that this patient has a form of Darier's disease called genital papular acantholytic dyskeratosis.