Dermatosis papulosa nigra

Dermatosis papulosa nigra
Specialty	Dermatology

Dermatosis papulosa nigra (DPN) is a condition of many small, benign skin lesions on the face, a condition generally presenting on dark-skinned individuals.^{[1]: 638–9} DPN is extremely common, affecting up to 30% of Black people in the US.^[2] From a histological perspective, DPN resembles seborrheic keratoses.^[3] The condition may be cosmetically undesirable to some.

They should not be confused for Leser-Trélat sign, a sudden explosion of lesions due to a growing tumor.

Pathophysiology

The pathophysiology of DPN is unknown. Evidence of family history may suggest a genetic propensity.

Treatment

DPN lesions are benign and no treatment generally is indicated unless lesions are cosmetically undesirable. Surgical options including curettage, cryotherapy and laser therapy are options.^[4] Scarring, postoperative skin discoloration or keloid formation are potential complications. Therefore, conservative DPN treatment is advisable.

Prognosis

DPN is not a pre-malignant condition nor is it associated with any underlying systemic disease.^[2] DPN lesions show no tendency to regress spontaneously, and often increase in size and number as an individual ages.

Epidemiology

DPN affects up to 35% of the African American population in the USA.^[5] Insufficient data is available on the international frequency of DPN. Lesions generally emerge during puberty, increasing steadily in number and size as an individual ages.^[6] The incidence of DPN lesions increases with age.^{[citation needed]} Black people with a fair complexion have the lowest frequency of involvement. DPN also occurs among Asians and Polynesians, although the exact incidence is unknown. Females are affected more frequently than males. Dermatosis papulosa nigra generally emerges in adolescence and is rarely in persons younger than 7 years.^[6]

See also

• List of cutaneous conditions

References

1. Odom, Richard B.; Davidsohn, Israel; James, William D.; Henry, John Bernard; Berger, Timothy G.; Clinical diagnosis by laboratory methods; Dirk M. Elston (2006). Andrews' diseases of the skin: clinical dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
2. Grimes PE, Arora S, Minus HR, Kenney JA Jr. Dermatosis papulosa nigra. Cutis. Oct 1983;32(4):385-6, 392.
3. Johnstone, Ronald B. (2017). "31. Tumors of the epidermis". Weedon's Skin Pathology Essentials (2nd ed.). Elsevier. p. 511. ISBN 978-0-7020-6830-0.
4. Kauh YC, McDonald JW, Rapaport JA, Ruschak PJ, Luscombe HA. A surgical approach for dermatosis papulosa nigra Archived 2017-11-01 at the Wayback Machine. Int J Dermatol. Dec 1983;22(10):590-2.
5. Dunwell P, Rose A. Study of the skin disease spectrum occurring in an Afro-Caribbean population. Int J Dermatol. Apr 2003;42(4):287-9.
6. Babapour R, Leach J, Levy H. Dermatosis papulosa nigra in a young child. Pediatr Dermatol. Dec 1993;10(4):356-8.

External links

• eMedicine.com article on DPN