Disseminated Superficial Actinic Porokeratosis (DSAP)

JONATHAN D ADAMS, MD and Dongsheng Jiang, MS, MD Reviewed 06/2022

BASICS

The name porokeratosis means scaly pore and is a misnomer, as no pore is involved in the lesions.

DESCRIPTION

Considered a precancerous skin condition
A disorder of keratinization
Few to dozens of...

DIAGNOSIS

HISTORY

Frequently there is a history of a blistering sunburn on the involved skin.
Onset in the 30 to 40 year age range
Family history of similar lesions may be present.
More prominent in the s...

TREATMENT

GENERAL MEASURES

No controlled studies exist as yet to evaluate treatment modality.

MEDICATION

First Line

Randomized controlled trials (RCTs) are needed. All treatment recommendations are based...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Regular skin examination

Patient Monitoring

Advise patients to call if any noticeable changes in any of the lesions.

PATIENT EDUCATION

Avoidance of UV exposure: enc...

REFERENCES

Torkamani N, Sinclair R. Disseminated superficial actinic porokeratosis accentuated by spray tan. Int J Dermatol. 2015;54(12):e545–e546. [View Abstract on O...

ADDITIONAL READING

Aird G, Sitenga J, Nguyen A, et al. Light and laser treatment modalities for disseminated superficial actinic porokeratosis: a systematic review. Lasers Med Sci...

CODES

ICD10

Q82.8 Other specified congenital malformations of skin

SNOMED

41495000 Disseminated superficial actinic porokeratosis (disorder)

CLINICAL PEARLS

Age- and UV-related nonmalignant skin condition

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