The lesions of dermatosis papulosa nigra are dark papules of     usually less than 2 mm diameter, that can be diffuse on the malar, preauricular, and forehead skin.

Dermatosis papulosa nigra (DPN) are superficial, benign papules that develop predominantly on the malar regions, neck, and upper trunk, most commonly in African Americans and Asians.

DPN increase in number and size over the years and do not self-resolve. Over 30 years of experience treating this condition.

Patients may view DPN as cosmetically displeasing and seek removal of the lesions. Treatment modalities include cryotherapy, snip excision, curettage, or electrodessication of each lesion.
Histologically, there are similarities with seborrheic keratosis.

First described in African-Americans, similar lesions are common in Asians and dark-skinned Caucasians.

Treatment:

• Lesions respond well to electrodessication and to the Q-switched ruby or carbon dioxide lasers

• Treatment must be gentle to avoid post-inflammatory hypopigmentation in ethnic skin patients

 
New York Dermatology by Board Certified  Dermatologist Dr. Gary Rothfeld  is a board certified NYC  Dermatologist with a  New York City office in Manhattan, New York  providing expert skin care, dermatology, and cosmetic dermatology services. 

A Park Avenue practice with an international reputation in general, cosmetic, and surgical dermatology. 

Dr Gary sees every patient himself and  believes in personalized care. The Doctor does not employ any physician assistants, nurse practitioners, or other physician substitutes to do his treatment. He sees every patient himself at every visit.

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