POROKERATOSIS OF THE FACE: REVISITING THE UNCOMMON IN DISSEMINATED SUPERFICIAL ACTINIC POROKERATOSIS

Abstract

Porokeratosis is a rare disorder of keratinization characterized by annular lesions with raised keratotic borders and cornoid lamellae on histopathology. Disseminated Superficial Actinic Porokeratosis (DSAP) is its most common variant; however, facial involvement is uncommon and may be misdiagnosed.We report a case of a 32-year-old male presenting with a six-month history of hyperpigmented lesions on the face and neck, associated with chronic sun exposure and inadequate photoprotection. Clinical evaluation, dermoscopy, and histopathology confirmed DSAP. Treatment with topical retinoids and calcipotriol, combined with strict sun protection and daily moisturization, led to marked clinical improvement.This case highlights the importance of recognizing DSAP in atypical sites and the need for individualized treatment strategies. Early diagnosis and optimal management are crucial in preventing progression and improving patient outcomes.