Late-onset disseminated superficial actinic porokeratosis in an elderly woman.
Dermatol Ther (Heidelb) 2011;
1:15-9. [PMID:
22984659 PMCID:
PMC3437640 DOI:
10.1007/s13555-011-0004-0]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2011] [Indexed: 11/22/2022] Open
Abstract
Introduction
Disseminated superficial actinic porokeratosis (DSAP) is the most common form of porokeratosis. A case of late-onset DSAP is reported with an uncommon presentation in an elderly patient.
Methods
An 80-year-old woman, with diabetes mellitus treated with metformin, and hypertension treated with metoprolol and captopril, presented with multiple 2 mm-to-7 cm brown patches, for 5 years. The patches were often confluent with an atrophic center and a well-demarcated keratotic border located on the thighs, lower legs, and feet.
Results
Histological examination of a cutaneous biopsy showed the presence of rare cornoid lamellae, confirming the clinical diagnosis of DSAP.
Conclusion
In this report, the atypical presentation of DSAP is discussed in this elderly patient and also the possible triggering factors at this age.
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