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September 10, 2025Cureus1 citationsOpen Access

Eruptive Pruritic Papular Porokeratosis in a 77-Year-Old Male: A Rare Case

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RDRichard L DookiePSPaul SubrtJTJaime A. Tschen

Key Points

  • The patient developed eruptive pruritic papular porokeratosis, leading to the need for specialized treatment.
  • Histopathology confirmed the diagnosis of this rare condition, which primarily affects the trunk and extremities.
  • Topical treatments included lovastatin and calcipotriene, showing potential for managing this inflammatory variant.
  • This case underscores the importance of recognizing and effectively managing eruptive pruritic papular porokeratosis.

Abstract

Eruptive pruritic papular porokeratosis (EPPP) is a rare inflammatory variant of disseminated superficial porokeratosis characterized by the sudden onset of pruritic papules, primarily affecting the extremities and trunk. We present the case of a 77-year-old male who developed EPPP without any underlying malignancy or immunosuppression. Histopathology confirmed EPPP, and the patient underwent treatment with topical lovastatin 2% ointment, followed by topical calcipotriene. This report highlights the clinical presentation, diagnostic workup, therapeutic interventions, and emerging insights into the management of this uncommon condition.

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Cite This Study

Dookie et al. (2025) studied this question.

synapsesocial.com/papers/68c1d5ef54b1d3bfb60f8c39https://doi.org/10.7759/cureus.91086
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