TY - JOUR T1 - DIsseminated superficial actinic porokeratosis in a black patient AU - Filho J, Cutin S, Cucé L Y1 - 1986/08/01 N1 - 10.1001/archderm.1986.01660200020003 JO - Archives of Dermatology SP - 852 EP - 853 VL - 122 IS - 8 N2 - To the Editor.—  Since 1966, when Chernosky and Freeman1 first described disseminated superficial actinic porokeratosis (DSAP), almost all reported cases have been in white patients. Few cases have been reported in dark-skinned patients.2-5 In 1981, Mensch and Hazen6 published the first case of DSAP occurring in a black patient.Prior to Chernosky and Freeman's report, cases of DSAP were probably classified in the disseminated superficial form of porokeratosis of Mibelli.7Disseminated superficial actinic porokeratosis is considered a distinct and well-defined entity with the following clinical features: evident actinic influence, no predominance in either sex, constant symmetry, and the presence of small slightly keratotic and sometimes pruritic lesions varying from 1 to 10 mm in diameter. It differs from the other forms of porokeratosis as it does not appear before the age of 15 years, and the Koebner phenomenon or associated neurologic diseases are absent. Only one case has SN - 0003-987X M3 - doi: 10.1001/archderm.1986.01660200020003 UR - http://dx.doi.org/10.1001/archderm.1986.01660200020003 ER -