Lafora disease is a fatal neurometabolic disorder characterized by progress
ive myoclonic epilepsy. Diagnosis relies upon the discovery of specific inc
lusion bodies in any of several organs. Dermatologists and dermatopathologi
sts should be familiar with this condition because axillary skin biopsy is
useful to diagnose this disorder. We present a case of Lafora disease diagn
osed by axillary skin biopsy and review the condition's clinical, histologi
c, and ultrastructural features.