Transient acantholytic dermatosis is an acquired disease showing acantholytic dyskeratosis very similar to that seen in keratosis follicularis (Darier's disease) and benign familial chronic pemphigus (Hailey-Hailey disease).
Usually on the trunk of middle-aged men, there is a sudden eruption of pruritic erythematous scaling papules, coalescing into plaques.
Many lesions have an eroded surface from the breakage of subclinical or clinical vesicles.
Sweating is a known precipitating factor.
Usually clearing within months, some eruptions run a more chronic relapsing course.
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