Dermatosis Papulosa Nigra
Dermatitis Papulosa Nigra are benign dark brown or black papules found on the cheeks of dark-skinned individuals. They may also develop on the eyelids and neck. They are a form of seborrheic keratosis. It is often inherited.
Diagnosis
The diagnosis of dermatosis papulosa nigra can be confirmed clinically by the appearance of multiple small brown soft papules on the cheeks. A biopsy is usually not required. Having family members with similar lesions further supports the diagnosis.
Management
Skin lesions caused by dermatosis papulosa nigra are benign and do not require treatment. A curettage (scraping) is possible if you want to get rid of the lesions for cosmetic reasons. The removal process can be accelerated with topical retinoid treatment. Following the procedure, white spots and scabbing may develop; however, they usually disappear after 14 days. Insurance does not cover the removal of these benign lesions. It is important to understand that removing existing lesions does not guarantee the absence of new lesions.
Coping
It is common for patients seeking consultation for these lesions to be reassured once it is discovered that they are benign.
Prevention
There is no known way to prevent dermatosis papulosa nigra lesions, as there is a hereditary predisposition for them to form.
