Electrosurgical treatment of etretinate-resistant Darier's disease

Two patients with symptomatic, etretinate-resistant, intertriginous Darier's disease were successfully treated with deep split-thickness skin excision using an electrosurgical unit. Healing was rapid and recurrence of disease has been minimal. The use of electrosurgery appears superior to other surgical techniques because, with the ease of hemostasis, the surgeon can more easily control the depth of excision and treat intertriginous creases.