DISSEMINATED HYPOPIGMENTED KERATOSES
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Does anyone have any experience in treating 'disseminated hypopigmented
keratoses/? I've tried retin a, retin a with efudex, liquid nitrogen. I
now have the patient on 20% lactic acid in hydrophilic ointment. 

Steven D. Emmet, M.D.                    
Assoc.Prof.Derm. UCSD 
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I recently had two patients with the same problem...very bothered from 
a cosmetic stand-point.  They thought they had a " fungus infection ". 
Demonstration that the more bothersome lesions were easily scraped off 
was psycologically beneficial.  They are now using 20% glycolic acid 
lotion, and will report to you about progress. 


Elliot Puritz MD
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I wonder if these lesions are disseminated actinic porokeratoses. I have 
had very good results with 10% glycolic acid cream such as Aquaglycolic  
an otc product, begin qd. and increase as tolerated. 

Roger Ceilley MD
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				4.17.96