Disseminated Superficial Actinic Porokeratosis: Case report

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Montes-Flores Zyanya Lorely
Luna-Salazar Arely
Lucía-Achell Nava
Rosas- García Mariela Rosario
Pastrana-Otero María Fernanda
Dominguez-Navarrete Xymena
Dominguez-Navarrete Renata

Abstract

Background: Disseminated superficial actinic porokeratosis is a rare disorder that presents abnormal clonal keratinization of unknown etiology. Frequently associated with UV radiation, genetic factors, and immunosuppression. It manifests clinically as solitary or multiple annular plaques surrounded by a hyperkeratotic border. Various clinical forms have been described, including disseminated superficial actinic porokeratosis, the most common subtype and represented in the following clinical case.


Clinical case: A case of a 62-year-old male is presented who presents with dermatosis characterized by annular erythematosquamous plaques spread to the hands, chest and upper and lower extremities and chest with collarette scales of chronic evolution. A clinical diagnosis is made, confirmed by classic histopathology and dermoscopic findings.


Conclusions. Disseminated superficial actinic porokeratosis is rare, difficult to diagnose and similar to multiple pathologies;    This is why it is important to recognize them clinically and achieve timely treatment of potential malignancy that they present.

Article Details

How to Cite
Montes-Flores Zyanya Lorely, Luna-Salazar Arely, Lucía-Achell Nava, Rosas- García Mariela Rosario, Pastrana-Otero María Fernanda, Dominguez-Navarrete Xymena, & Dominguez-Navarrete Renata. (2024). Disseminated Superficial Actinic Porokeratosis: Case report. International Journal of Medical Science and Clinical Research Studies, 4(06), 1184–1187. https://doi.org/10.47191/ijmscrs/v4-i06-29
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References

I. Vargas-Mora P, Morgado-Carrasco D, Fustà-Novell X. Porokeratosis: A Review of Its Pathophysiology, Clinical Manifestations, Diagnosis, and Treatment. Actas Dermosifiliogr (Engl Ed). 2020 Sep;111(7):545-560. English, Spanish. doi: 10.1016/j.ad.2020.03.005. Epub 2020 May 13. PMID: 32401728.

II. Nicola A, Magliano J. Dermoscopy of Disseminated Superficial Actinic Porokeratosis. Actas Dermosifiliogr. 2017 Jun;108(5):e33-e37. English, Spanish. doi: 10.1016/j.ad.2015.09.025. Epub 2016 Mar 23. PMID: 27015657.

III. Florat GD, Viera CF, Rodríguez VKM, et al. Poroqueratosis actínica superficial diseminada: reporte de caso y revisión de la literatura . Dermatología Cosmética, Médica y Quirúrgica. 2019;17(1):42-45.

IV. Logeshwari J, Patel ND, Varala S, Krishna AV. A case series of disseminated porokeratosis. Clin Dermatol Rev 2021;5:213-6.

V. Das A, Vasudevan B, Talwar A. Porokeratosis: An enigma beginning to unravel. Indian J Dermatol Venereol Leprol 2022;88:291-9.

VI. Waqar, M. U., Cohen, P. R., & Fratila, S. (2022). Disseminated Superficial Actinic Porokeratosis (DSAP): A Case Report Highlighting the Clinical, Dermatoscopic, and Pathology Features of the Condition. Cureus. https://doi.org/10.7759/cureus.26923

VII. Tomsitz,D, Biedermann , T, Successful treatment of disseminated superficial actinic porokeratosis with topical 2% cholesterol/2% lovastatin cream: a case series with 7 patients. JEADV 2022; 36, e1–e79

VIII. Quiroz-Valencia N, Vargas Bermudez MJ. Disseminated Superficial Actinic Porokeratosis. Actas Dermosifiliogr. 2016 Dec;107(10):858. English, Spanish. doi: 10.1016/j.ad.2015.07.022.