Dermatosis Papulosa Nigra

DPN

Overview

Dermatosis papulosa nigra (DPN) is a very common, benign condition characterized by multiple small, dark brown to black papules on the face, particularly the cheeks and periorbital areas. It is a variant of seborrheic keratosis that predominantly affects individuals with darker skin tones, especially those of African descent. The papules tend to increase in number and size with age.

Key Symptoms

  • Multiple small (1-5 mm), smooth, dark brown to black papules
  • Predominantly on the cheeks, temples, and periorbital area
  • May also occur on the neck, chest, and upper back
  • Gradually increase in number with age
  • Flat-topped or slightly pedunculated (on a small stalk)
  • Completely asymptomatic — no pain or itching

Affected Areas

Cheeks, Temples, Periorbital area, Forehead, Neck, Upper chest

Care Instructions

  1. No treatment is necessary as DPN lesions are completely benign.
  2. If removal is desired for cosmetic reasons, options include light electrodesiccation, cryotherapy, curettage, or scissor excision.
  3. Treatment should be performed carefully to minimize risk of post-inflammatory hyperpigmentation or scarring, particularly in darker skin.
  4. Multiple treatment sessions may be needed for numerous lesions.
  5. New lesions will continue to develop over time regardless of treatment.
  6. See a dermatologist experienced in treating skin of color for the best cosmetic outcomes.

Medical Disclaimer: This information is for educational purposes only and does not replace professional medical advice. Always consult a qualified dermatologist for diagnosis and treatment.

Prevalence: Very common; affects up to 35% of Black individuals, increasing with age