Darier disease mimicking Basal cell carcinoma of the eyelid.

Darier disease is a rare autosomal dominant skin disorder that infrequently has ocular manifestations. The authors describe 2 cases of patients with known Darier disease presenting with eyelid lesions resembling basal cell carcinomas. Biopsies demonstrated histopathologic changes consistent with Darier disease. To the authors' knowledge, this presentation has not been previously reported. Ophthalmologists and dermatologists should be aware of this type of presentation in Darier disease.