Best Treatment for Dermatosis Papulosa Nigra (DPN)?
asked 1 year ago by Mr.P. Sukumaran in Kerala, India
Latest answer by Joel L. Cohen, MD
Question viewed 2,055 times
Tags: best, dermatosis papulosa nigra, options
I have problem of dermatosis papulosa nigra (DPN). Is there any liquid medicine to apply on it to remove it. Also is there is any medicine to take inside. I heard there is effective medicine in homeopathy.
4 answers to Best Treatment for Dermatosis Papulosa Nigra (DPN)?
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DPN's are usually pretty easy to treat with either light electrodessication or focal erbium laser
Simple electrodessication can be very effective for DPN's, but use of low settings is very important. Patients should avoid picking or manipulating these areas, as this can increase the risk of discoloration that is persistent. Snip-removal can also be helpful for larger, more pedunculated lesions. For larger areas, an erbium laser can be very helpful, reliable and effective and avoids the use of liquid nitrogen (which is more likely to lead to discoloration or scarring).
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Joel L. Cohen, MD
Denver Dermatologic Surgeon
Denver Dermatologic Surgeon
+1
Dermatosa papulosa nigra
I am not aware of any cream or liquid that can safely eliminate these lesions without creating a hyperpigmentation concern. These benign growths, dermatosa papulosa nigra are usually treated by snip excision, cauterization or other treatments but there can be a discoloration, lighter or darker, usually temporary. The risk of scarring exists.
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Electro-dessication
Most physicians prefer electro-dessication for treating dermatosis papulsa nigra. This is simple, safe effective, and if done properly, should not leave a scar. Cryotherapy can also be used but there is a risk of post-inflammatory hyper-pigmentation. Laser, for those with money to burn, can also be used. It creates a scab which will fall off a few days later.
I realize there are some liquids and creams advertised on the internet, but I would rather not dignify them as an...
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Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
Virginia Beach Dermatologist
+1
The Iridex 532nm laser
I have published a paper on this treatment. It is remarkably safe and effective, even on the darkest skin. It is a 532 nm laser with a very small 1mm or less spot size for precise delivery of the energy. There is a great risk of pigment disruption with any other treatment. I have pictures of results on my web site.
