Dermatosis - Patients ask Dr. Ringpfeil answers
Please feel free to use the blog below to share information about Dermatosis or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.
Dermatosis Papulosa Nigra are benign small dark brown or black papules seen on the face along the cheeks of dark skinned individuals. They can also sometimes develop on the eyelids and neck. They are a type of seborrheic keratosis. The condition often runs in families.
The diagnosis of dermatosis papulosa nigra can be made clinically by the appearance of multiple small brown soft papules on the cheeks. A biopsy is usually not needed. A history of family members with similar facial lesions further supports the diagnosis.
The lesions of dermatosis papulosa nigra are benign and do not require treatment. If desired for cosmetic reasons, the lesions can be removed by curettage (scraping). Removal can be enhanced if preceded by treatment with a topical retinoid. White spots and scabbing can develop after the procedure but usually resolve after 14 days. Removal of these benign lesions is not covered by insurance. It is important to understand that removal of existing lesions will not ensure that new lesions will not develop.
Patients who seek consultation for these lesions are often reassured upon hearing of their benign nature.
There are no known means of preventing dermatosis papulosa nigra lesions as there is a hereditary predisposition to their development.