Porokeratosis is an explicit keratosis disorder of keratinization. It is recognized through microscopic anatomy by the existence of a cornoid lamella, a slim line of narrowly piled, parakeratotic cells that extend through the stratum corneum with a slim or missing grainy layer. In the medical world, porokeratosis has many names such as senile warts, barnacles, papilloma of basal cell, seborrheic verruca, senile keratosis, and brown warts. Porokeratosis turns up as cornoid lamella in the clonal keratinization infection.
This keratinization disorder has been found in five variants. These subtypes include disseminated superficial actinic porokeratosis, porokeratosis palmaris et plantaris disseminate, punctate porokeratosis, classic porokeratosis of mibelli, and linear porokeratosis. The disseminated superficial actinic porokeratosis disorder is rather widespread in the US, and the other types of porokeratosis disorders are uncommon. Individuals having fair skin are most susceptible to the porokeratosis. Porokeratosis is uncommon in people with dark skin.
Some types of this disorder like classic keratosis of mibelli and porokeratosis palmaris et plantaris disseminate are mostly found in men. On the other hand, disseminated superficial actinic porokeratosis occurs three times higher in men than women, while linear porokeratosis equally affects both men and women. Statistics show that linear porokeratosis and porokeratosis palmaris et plantaris disseminate can affect people of any age during their life. Adults that are ages 30 to 40 years old are more vulnerable to disseminated superficial actinic porokeratosis. Porokeratosis of mibelli starts to affect individuals from the early years of their life.
There are many causes of porokeratosis. It may occur due to constant exposure of skin to sunlight, ultraviolet rays, therapeutic phototherapy, immune suppression, genetic inheritance, and radiation therapy. Statistics show that this condition is also developed in a small number of patients with renal transplants. Individuals suffering from the porokeratosis are advised to stay away from unnecessary direct contact with sunlight. They are required to put on special garments that are made for protection against the sunlight.
There are many ways to carry out the treatment of porokeratosis. Treatment of this disorder is different from person to person. Doctors devise a treatment plan according to the preference of the patient, lesion size, and its anatomical position and growth risk. Porokeratosis-affected people need suitable protection from sunlight and normal application of emollients. Surgical care is another method to treat porokeratosis. The lesions that are grown are required to be surgically removed. Some other methods like diamond fraises dermabrasion, laser therapy, electrodessication, and cutterage and cryotherapy are useful to treat the porokeratosis.
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