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DPN

Dermatosis Papulosa Nigra or DPN is a type of hyperpigmentation. The symptoms of DPN are black or brown spots. Moreover, patients find DPN usually on the cheek and around the eyes, forehead, neck, chest, and back.

DPN (Dermatosis Papulosa Nigra)

Dermatosis Papulosa Nigra (DPN) appears as small brown or black spots on the skin. Generally, these spots are seen around the cheekbones and eyes. However, they are also seen on the face, neck, chest, and back. Some people with DPN have a few, isolated spots while others have hundreds of spots. The spots are neither cancerous nor dangerous to your health. However, they may be itchy, irritating, or cosmetically unappealing.

Do & Don't for Getting DPN

DO: Consult a doctor who specialises in treating patients with ethnic skin.
DO: Keep realistic expectations from the treatment.
DO: Use a broad spectrum sunscreen daily.
DO: Use face washes that have glycolic or salicylic acid.

DON’T: Leave the house without sun protection.
DON’T: Ignore initial stages of any skin condition.
DON’T: Scrub your skin too roughly.

Appearance

The spots may either be flat or hang off the skin from a stalk or peduncle. Usually, the bumps caused by DPN are round.

Size

They range in size from 1 to 5 millimeters. The bumps tend to grow bigger and increase in number as the individual ages.

Texture

The bumps are initially smooth. However, the bumps can become rougher looking over time.

Causes of DPN

Usually, the cause is genetics. However, it may also be a result of the natural ageing process. Additionally, many believe that it is due to a developmental defect of hair follicles.

People at risk

African Americans are at high risk of the condition. Usually, this condition is more common in women. Generally, the spots appear after puberty.

 

Treatment for DPN

Dermatosis papulosa nigra (DPN) is not a health concern and is not life-threatening, However, many people consider removing the spots for aesthetic reasons. It is important to have realistic expectations from the treatment. Treatment may not be able to completely remove spots. Hence, the goal of treatment should be to minimize the appearance of spots rather than to remove them completely.

Additionally, the fact that the condition occurs mostly in the skin of color patients complicates treatment for DPN.  These individuals are at a higher risk of developing pigmentation defects (lightening or darkening of the skin). Moreover, they are also prone to scarring following treatment. These scars or discolored patches may also be cosmetically undesirable.

  • Surgical removal: 

The DPN bumps or spots can be surgically removed through the following techniques usually done with topical anesthesia:

  1. Scissor excision: In this technique, your doctor will grab the DPN spot with a small forceps and lightly pull it up. Then he will use small, curved scissors to carefully cut around and under the lesion. This technique treats DPN spots that rise above the skin.
  2. Shave excision: In this treatment, the mole is cut off from the body using a small blade. This procedure does not require stitches.
  3. Curettage: Curettage involves scraping away the bumps with a small scooping instrument.
  4. Electrocautery: Electrocautery involves using a small probe with an electric current to burn away the bumps.
  5. Cryosurgery: Cryosurgery involves freezing off the bumps using liquid nitrogen.
  6. Electrodesiccation: Electrodesiccation involves dehydrating the superficial tissue to destroy it. 

These treatments may cause scarring. Moreover, they also won’t stop new bumps from appearing.

2. Laser treatments:

Laser therapy uses different wavelengths and frequencies to remove the DPN growths. Some of the lasers that can help to remove or reduce the appearance of DPN growths are:

  1. Carbon-dioxide laser: This type of laser therapy is a safe and effective option for DPN. Moreover, after CO2 treatment, DPN has a low chance of recurrence.
  2. Long-pulsed neodymium-doped yttrium aluminium garnet lasers (Nd: YAG lasers): This laser uses a wavelength of 1064nm that is safe for dark skin. It stops the blood supply to the growth. Additionally, it also coagulates melanin in the dark spots. This treatment is slightly painful. However, it also has minimal side effects. 

TREATMENT MODALITIES


Dermatosis papulosa nigra (DPN) is not a dangerous condition. However, some patients choose to remove it for cosmetic reasons. READ MORE

TREATMENT VIDEOS

TIMELINE

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Generally, DPN presents itself at puberty and the spots increase over time. Usually, the distribution pattern of the small black or brown spots is sufficient to diagnose DPN. However, in rare cases, we do a biopsy to diagnose DPN.

PATIENT SPEAK

Patient Speak 36

Jaya More ,Kharadi, Pune

Treatment:Acne Pimples Date: Oct 18, 2019 Sessions: 4

“ Excellent guidance and neat treatment .”

DPN – Q&A

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Related Q&A’s

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Important Announcement

Covid-19

Video Consultation Service

Video Consultation Protocol
Hello Sir/Mam,

Clear Skin & HairMD Clinics team is pleased to offer ONLINE VIDEO Consultation facility to to help patients with their skin and hair problems.
Our expert Dermatologists, will discuss your queries related to Skin & Hair Problems & guide you regarding medication and care

Video Consultation  - Day & Time will be scheduled according to the mutual convenience of our Dermatologists & you, our esteemed patient.

Basic Information related to Video Consultation Sessions

  1. Counselling will be done with Prior appointment, which should be taken at least 2 days before the session
  2. Consultation session slot will be finalised post the payment confirmation from our accounts team
  3. Video Consulatation session duration - 15 min
  4. Consultation Fee for each session - Rs 700 (Payment Details are shared below for your reference)
  5. Sessions will be done through Whatsapp video call
  6. Before the session, you will need to share your Images and questions related to your skin/hair ailment on WhatsApp of our with our Patient Support Team at +91-74989 06403
  7. Images of the area should cover all sides. Images should be in good light with focus. For e.g. image of face should cover left and right side chin, forehead and cheeks. This will help us contextualise the discussion.
  8. Medicines will be prescribed as per the latest Medical Council of India guidelines for Telemedicine (March 2020) and sent over email and WhatsApp,
  9. Please understand that teleconsultation has its limitations as compared to in-person consultation. Because it is not possible to do detailed physical examination, the teleconsultation process comes with its limitations. The patient agrees with this limitations of teleconsultation. Also because of the inability for detailed physical examination, some medicines cannot be prescribed in a teleconsultation process, as per Government of India - Medical Council of India - latest Guidelines.Some dermatological diseases may require procedural interventions too along with the medicines. It is required by the patient to visit the clinic for the same. In such cases medicines may not be able to give maximum result.

Please fill the form attached or message us on  +91-77980 22622 so that we can guide you about the payment process .

In case you need any additional details, please feel free to call / mails us.

For any additional Queries connect with our Patient Support Team at +91-77980 22622

Timeline for DPN

A dermatologist can diagnose DPN by the appearance and distribution of the spots. Rarely, a dermatologist may perform a biopsy. Therefore, dermatologists take a small skin sample from the affected area for a biopsy. Subsequently, the doctor looks at it under a microscope to confirm the diagnosis.

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Do & Don't for Getting Aging

DO: Consult your dermatologist before trying any product or treatment
DO: Use broad-spectrum sunscreen to prevent photodamage.
DO: Maintain a healthy skincare routine.
DO: Drink 2-3 litres of water daily.
DO: Eat a healthy & balanced diet

DON’T: Use sulphate and petroleum jelly based skin care products.
DON’T: Use skincare products that don’t suit your skin type.
DON’T: Leave the house without sun protection.
DON’T: Smoke and drink.
DON’T: Overuse anti-ageing products.



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Our patient support team on the number given below.
Kindly co-operate with us.

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Do & Don't for Getting Acne

DO: Cleanse your face.
DO: Moisturise your skin.
DO: Stay hydrated.
DO: Use sunscreen daily.
DO: Follow a healthy diet.

DON’T: Pop and poke your pimples.
DON’T: Use excessive make-up products.
DON’T: Eat oily foods.
DON’T: Over-exfoliate.
DON’T: Scrub your skin too roughly.