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Porokeratosis: clinical manifestations and treatment options

https://doi.org/10.33667/2078-5631-2020-6-87-90

Abstract

Porokeratosis is a rare disease with an autosomal dominant type of inheritance. It is customary to distinguish classic Mibelli porokeratosis, as well as disseminated and localized variations of the course of dermatosis, which differ in genetic predisposition, trigger factors, and treatment approaches. The article describes the variants of the disease – eruptive itchy papular malformation that occurs on the extremities against the background of microcirculation disorders and giant, developed on the skin of the trunk. The main methods of treatment of porokeratosis are also described.

About the Authors

A. B. Yakovlev
Central State Medical Academy of the Administrative Department of the President of Russia
Russian Federation

Moscow



O. A. Golanova
Central State Medical Academy of the Administrative Department of the President of Russia
Russian Federation

Moscow



References

1. Singh N, Chandrashekar L, Kumar N, Kar R, Thappa DM. Classic porokeratosis of Mibelli. Indian Dermatology Online Journal. 2014 Dec; 5 (Suppl 2): S 130–1. doi.org/10.4103/2229–5178.146193.

2. Sun RF, Chen H, Zhu W, Lian S. Dermoscopic Features and Gene Mutation in the Mevalonate Pathway of Five Sporadic Patients with Porokeratosis. Chinese Medical Journal. 2017 Jul 20; 130 (14): 1747–1748. doi.org/10.4103/0366–6999.209905.

3. Le C, Bedocs PM. Disseminated Superficial Actinic Porokeratosis. Treasure Island (FL): StatPearls Publishing. 2019 Nov 13. www.ncbi.nlm.nih.gov/pubmed/29083728.

4. Потекаев Н.Н, Акимов В. Г., Фомина Е. С., Чистякова Т. В., Бобров М. А. Порокератоз и его клинические варианты. Клиническая дерматология и венерология. 2019, т. 18, № 3, с. 338–344.

5. Елькин В. Д., Митрюковский Л. С. Избранная дерматология. Редкие дерматозы и дерматологические синдром. Иллюстрированный справочник по диагностике и лечению дерматозов / В. Д. Елькин, Л. С. Митрюковский, Т. Г. Седова. Изд. второе, испр. и доп. Пермь: ИПК Звезда, 2004. 943 с.

6. Дерматология Фицпатрика в клинической практике: В 3 т. / Л. А. Голдсмит, С. И. Кац, Б. А. Джилкрест и др.; с пер. с англ.; общ. ред. Н. Н. Потекаева, А. Н. Львова. Изд. 2-е, исп., перер., доп. М.: Издательство Панфилова, 2015. Т. 1. 2015. 1168 с.

7. Textbook of pediatric dermatology. Edited by J. Harper, A. Oranje, N. Prose. – 2006. – P. 2251.

8. Анисимова Л. А., Сидоренко О. А., Старостенко В. В. Порокератоз поверхностный диссеминированный актинический: клинический случай. Медицинский вестник Юга России. 2014. № 1. С. 130–133.

9. Shin EJ, Gwak MJ, Jeong KH, Lee MH. Disseminated Superficial Actinic Porokeratosis in a Vitilligo Patient Undergoing Treatment with Long-Term Narrowband Ultraviolet B. Annals of Dermatology. 2018 Apr; 30 (2): 249–251. Epub 2018 Feb 21. doi.org/10.5021/ad.2018.30.2.249.

10. Sim CY, Shin JY, Lee SY, Park YL. Erratum: Disseminated Superficial Actinic Porokeratosis in a Patient with Psoriasis, after Long – Term Narrowband Ultraviolet B Phototherapy. Annals of Dermatology. 2018 Aug; 30 (4): 511. Epub 2018 Jun 28. doi.org/10.5021/ad.2018.30.4.511.

11. Chokoeva AA, Wollina U, Lotti T, Maximov GK, Lozev I, Tchernev G. Disseminated Porokeratosis with Idiopathic Thrombocytopenia – Case Report and Literature Review of Porokeratosis and Related Disorders. Open Access Macedonian Journal of Medical Sciences. 2018 Jan 13; 6 (1): 139–142. doi.org/10.3889/oamjms.2018.017.

12. Escanilla-Figueroa C, Jimeno-Ortega I, Fuenzalida-Wong H, Chavez-Rojas F. Generalized linear porokeratosis. Anais Brasileiros de Dermatologia. 2018 Jun; 93 (3): 477–478. doi.org/10.1590/abd1806–4841.20187798.

13. Lanka P, Lanka LR, Manivachagam D. Punctate Porokeratosis Palmaris et Plantaris. Indian Journal of Dermatology. 2015 May-Jun; 60 (3): 284–6. doi.org/10.4103/0019–5154.156382.

14. Udare S, Hemmady K. Clinical and dermatoscopic features of porokeratosis palmaris et plantaris. Indian Dermatology Online Journal. 2016 Jul-Aug; 7 (4): 290–2. doi.org/10.4103/2229–5178.185483.

15. Guo H, Gao XH, Chen HD, Li JH. Coexistence of multiple variants of porokeratosis. Indian Journal of Dermatology, Venereology, and Leprology. 2015 Jul–Aug; 81 (4): 402–3. doi.org/10.4103/0378–6323.157463.

16. Родионов А. Н., Заславский Д. В., Сыдиков А. А. Дерматология. Иллюстрированное руководство клинической диагностики… Под ред. проф. Родинова А. Н. М.: Издательство «Граница», 2018. 944 с.

17. Патогистология кожи в 2 тт. Под ред. В. Н. Мордовцева, Г. М. Цветковой. М.: Медицина, 1992. 384 с.

18. Шерстобитова К. Ю., Утц С. Р., Шнайдер Д. А. Роль дерматоскопии в диагностике поверхностного диссеминированного актинического порокератоза. Саратовский научно-медицинский журнал. 2017. Т. 13, № 3.

19. Nicola A, Magliano J. Dermoscopy of Disseminated Superficial Actinic Porokeratosis. Actas Dermo – Sifiliograficas. 2017 Jun; 108 (5): e33–e37. doi.org/10.1016/j.ad.2015.09.025

20. Herenio AS, Cavalcanti SM, Franca ER, Maranhao CM, Alencar ER. Porokeratosis simulating Bowen’s disease on dermoscopy. Anais Brasileiros de Dermatologia. 2016 Sep-Oct; 91 (5 suppl 1): 119–121. doi.org/10.1590/abd1806–4841.20164479.

21. Ahmed A, Hivnor C. A case of genital porokeratosis and review of literature. Indian Journal of Dermatology. 2015 Mar–Apr; 60 (2): 217.

22. Tchernev G, Chokoeva AA, Ivanova B, Mangarov H, Vidolova NG. Disseminated superficial actinic porokeratosis (DSAP): significant improvement after local administration of calcipotriol/betamethasone gel? Wiener medizinische Wochenschrift. 2017; 167 (3–4): 85–88. doi.org/10.1007/s10354–016–0484–8.

23. Ross NA, Rosenbaum LE, Saedi N, Arndt KA, Dover JS. Disseminated superficial actinic porokeratosis improved with fractional 1927-nm laser treatments. Journal of Cosmetic and Laser Therapy. 2016; 18 (1): 53–5. doi.org/10.3109/14764172.2015.1063657.

24. Howard M, Hall A. A report and follow up of patient with disseminated superficial actinic porokeratosis (DSAP) undergoing novel systemic treatment with palifermin (a keratinocyte growth factor) during chemotherapy. Dermatology Online Journal. 2018 Feb 15; 24(2). pii: 13030/qt5g14011s.


Review

For citations:


Yakovlev A.B., Golanova O.A. Porokeratosis: clinical manifestations and treatment options. Medical alphabet. 2020;(6):87-90. (In Russ.) https://doi.org/10.33667/2078-5631-2020-6-87-90

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)