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Living with Porokeratosis 4, disseminated superficial actinic type

A rare skin condition with ring-shaped, scaly patches that spread outward, often on sun-exposed areas.

Understanding Porokeratosis 4, disseminated superficial actinic type

Porokeratosis 4, disseminated superficial actinic type is a rare skin disorder that causes raised, ring-shaped patches on the skin.

The patches have a scaly border and spread outward. The most common type, disseminated superficial actinic porokeratosis (DSAP), causes small, raised, scaly patches on sun-exposed areas such as the face, neck and limbs. It usually starts in adolescence and can continue into adulthood. It is not contagious.

Signs & symptoms

GARD doesn't list a symptom list for this condition. It describes these signs:

  • Raised, ring-shaped patches
  • Scaly border that spreads outward
  • Patches on the face, neck and limbs

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 rare disease patient organizations for support
  • 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 type of porokeratosis do I have?
How should I protect my skin from the sun?
What treatments can help with the patches?

Quick facts

GARD says genetic factors can cause porokeratosis, but more research is needed to understand this.

Also known as: porok4; porokeratosis 4, disseminated superficial actinic; porokeratosis, disseminated superficial actinic 2

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Porokeratosis 4, disseminated superficial actinic typeGARD ID 9504 · 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 Porokeratosis 4, disseminated superficial actinic type.

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