Zuheir Al-Shehabi

MC can present in a zosteriform pattern, resembling herpes zoster. This uncommon presentation in an immunocompetent patient highlights the importance of recognizing various clinical forms for accurate diagnosis and management. Early diagnosis and proper management can prevent unnecessary treatments and reduce the risk of viral spread through scratching (Koebner phenomenon).

This case highlights distinctive features of the rarely presenting type I segmental Darier's disease and emphasizes its atypical characteristics. Increased clinical awareness of these features will help ensure precise diagnosis for effective patient management and counseling. 1 Introduction Darier's disease, also known as Darier-White disease and follicular keratosis, was originally described in 1889 by the two dermatologists Darier and White [1].