With interest we read the valuable contribution to the delineation of the neuropsychiatric phenotype in Darier disease (DD) by Dodiuk-Gad et al.1. We are not completely convinced, however, that ATP2A2 mutations are as independently associated with psychiatric symptoms in DD, especially depression, as the authors propose. We would like to make two remarks and advocate a clinically oriented approach to psychiatric symptoms in DD patients.
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