Dermatosis Papulosa Nigra, commonly referred to as DPN, is a condition that involves numerous, tiny, 1-5 mm diameter, smooth, firm, black or dark brown papules on the neck and face. Nevertheless, DPN is a harmless skin condition affecting people having darker skin tones.
This condition is predominantly noticeable amongst the African population as well as dark-skinned Asians. As DPN is not that harmful, one should not be too bothered or medically concerned about it unless and until they get itchy or irritated.
Dermatosis Papulosa Nigra are generally smooth black or brown bumps measuring 1-5 millimeters, usually starting during the phase of adolescence. As one tends to get older with time, these bumps grow bigger thereby increasing their number.
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People Prone to Developing Dermatosis Papulosa Nigra (DPN)
People belonging to African American descendants are at high risk of developing DPN, particularly while they’re at their age of puberty.
There’s a high possibility of the aforementioned condition being genetically transmitted.
There’re certain reports or testaments which mention that DPN occurs owing to a developmental defect of hair follicles.
Underlying Causes of DPN Skin
Medical experts are not exactly clear about what causes facial DPN. The darker skin tone or complexion one has, the greater the chance for him/her for developing such a skin condition.
It’s mostly caused due to genetic factors, but it can also be considered as a byproduct of the natural, unavoidable ageing process.
Discernible Signs & Symptoms of Dermatosis Papulosa Nigra (DPN)
- Mostly characterized by the appearance of small bumps in the facial region as one reaches the advanced stage of puberty.
- They range from 1-5 mm in diameter having black or brown in colour and appearance.
- Mostly occurs on the upper portion of the cheek, sometimes taking over the entire face as well.
Diagnosis of Dermatosis Papulosa Nigra (DPN)
For an accurate diagnosis of DPN, it’s advisable to consult and visit a certified, experienced dermatologist, who can help you out in examining the skin and analyzing the severity of the skin condition.
Once you visit a doctor, they will have a thorough look at the skin and examine and ascertain the typical appearance of the raised spots.
On some occasions, a biopsy is done, but generally, the distribution pattern of these small brown or black spots or dots in the aforementioned locations is sufficient enough for their identification to be taken in for a future course of action or treatment plan.
Treatment of Dermatosis Papulosa Nigra (DPN)
Generally, DPN is a harmless skin condition not requiring any sort of treatment whatsoever, with treatment being usually dependent on patients’ compliance.
If the spots or bumps get way too itchy or irritant or you don’t like their appearance, as well as aspiring to have flawless, blemish-free skin, then there’re few ways and means to do them.
It’s always a feasible idea to go for spot minimization or reduction than removing them completely.
Some other treatment options available for DPN in Indian skin are Surgical removal, Laser treatment, curettage, Freezing with liquid nitrogen (cryotherapy), and Electrodesiccation.
Curettage is scrapping off the growth, electrocautery employs the current for cauterizing skin tissue and electrodessication is accountable for dehydrating and destroying the superficial skin tissues.
All these above-mentioned methods are considered to be the most effective treatment procedures for DPN. Though cosmetic removal proves to be highly effective, a complete discussion about risk factors and the rewards of opting for the procedure preceding the surgery is required nonetheless. For, it tends to increase the chances of pigmented scars in the darker skin types.
Whilst following the treatment, it’s imperative to take appropriate measures to avert any kind of DPN recurrence. As harmful UV exposure may play a vital role in the pathogenesis of DPN, employing broad-spectrum sunscreen can aid you in preventing the relapse thereby keeping your skin healthy.
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