Darier disease's (DD) is an autosomal dominant inherited skin disease caused by a mutation in ATP2A2 encoding the sarco/endoplasmic reticulum Ca 2+ ATPase type 2 isoform (SERCA2), which is a calcium pump transporting Ca 2+ from the cytosol to the lumen of the endoplasmic reticulum (ER). 1 Exposure to stresses including ultraviolet (UV)-B irradiation and infections, requires increased SERCA2 activity to a level unachievable by the cells, owing to the loss of function of one copy of the gene in DD (haploinsufficiency). 2 Epidermal barrier dysfunction including atopic dermatitis (AD), DD, and Hailey-Hailey disease (HHD) that has mutations in ATP2C1 can easily lead to development of eczema herpeticum (EH), which refers to disseminated skin superinfection mainly caused by herpes simplex virus (HSV). 3 EH may progress to systemic infection that manifests as fever, malaise, encephalitis, and septic shock. 4 Disrupted tight junction (TJ) via severe ER stress increases susceptibility to HSV infections in DD because TJ is a major physical barrier for HSV-1 invasion into the tissue. [5][6][7] Here, we report two unique cases of the exacerbation of DD after the development of severe EH. In order to determine the factors that could trigger the exacerbation of DD, serum cytokines were serially measured, and the relationship between pro-inflammatory cytokines, gene expressions in DD and HHD, and HSV growth was analyzed in vitro.