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Living with Disseminated superficial actinic porokeratosis

A skin condition with many small, scaly brown patches, mostly on sun-exposed skin.

Understanding Disseminated superficial actinic porokeratosis

Disseminated superficial actinic porokeratosis (DSAP) is a skin condition that causes dry, scaly patches.

It causes many small, brownish patches with a distinct border, most often on sun-exposed skin like the lower arms and legs. It usually starts in the 30s or 40s and rarely affects children. Patches are more noticeable in summer. It is usually not cancerous, though skin cancer may occasionally develop in patches.

Signs & symptoms

Symptoms vary from person to person. GARD lists these as the most common:

  • Small, scaly brownish patches
  • Sensitivity to sunlight
  • Itching (less common)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which sun-protection steps are best for my skin?
How often should the patches be checked for skin cancer?
Can genetic testing of MVK and SART3 help my family?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant

Some cases are caused by changes in the MVK or SART3 genes. It may be passed down in an autosomal dominant way or occur in people with no family history.

GeneticSkin

Also known as: dsap - disseminated superficial actinic porokeratosis

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Disseminated superficial actinic porokeratosisGARD ID 10983 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Disseminated superficial actinic porokeratosis.

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