Disseminated superficial actinic porokeratosis

Disseminated superficial actinic porokeratosis

Disseminated superficial actinic porokeratosis (DSAP) is an acquired condition occurring in sun exposed skin.

Lesions are similar to those seen in porokeratosis of Mibelli, with a flat, central cleared area, surrounded by a raised edge, surmounted by a furrow. The raised active edge spreads peripherally. DSAP lesions are usually multiple, and evidence of significant actinic damage to the surrounding skin is usually present.

Treatment:

  • These lesions are difficult to treat and respond variable to treatment.
  • Reports of success with 5% 5-fluorouracil cream, liquid nitrogen cryotherapy and topical retinoids exist, but results are often suboptimal.
  • Sun blocks should be used to prevent further damage.
Disseminated superficial actinic porokeratosis

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