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Planti
New Member
 
Joined: 01 Nov 2008
Posts: 9
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Fri Nov 14, 2008 8:39 pm  |
Disseminated Superficial Actinic Porokeratosis DSAP
It is inherited in a dominant fashion, so either mom or dad was spotted, unless they were seriously sun avoidant.
I have tried laser, Glycolic at 30%, Tazorac (a retinoid), azelaic acid 20%, salacylic acid 4% and have met people who have tried nitrogen freezing and IPL. I also inadvertently hit one on my chest with IPL, and it got darker so I used some lightening creams and my usual sun avoidance. Mostly nothing changes it, but laser (that was a woman who worked at the place I get my IPL, not sure of wavelength) and IPL made it more obvious for quite some time. Glycolic made it red and faded within weeks.
I have never tried Hydrogen Peroxide (H2O2) but expect it would not work, and likely would not cause much difference unless the skin barrier had been disrupted with lots of solvent first. And the problem is genetic and starts at the level of the basement membrane of the epithelial cells so the regrown skin will look the same. I am watching the genetic forums but it is not exactly deadly so not getting much research money.
Just don't want undiagnosed DSAP sufferers to knock themselves out with stuff that won't work. It is much more prevalent than the websites that indicate it is 'rare'. I spot it everywhere I go in the summer in my mainly white skinned community.
The other problem is that even with no more exposure to sun the skin gets thinner and more uneven with respect to pigmentation. My forearm skin, at 54, looks like a 90 year old's, mottled, shiny unpigmented and variously pigmented spots, crepe paper wrinkling. And it is so fragile that a simple scratch from the dog produces blood blisters. I stopped sunning at about 40. Take lots of Vitamin D. |
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54, fair oily blackhead prone midface with mild rosacea, but otherwise quite a nice person |
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Sat Nov 15, 2008 1:01 pm |
| Planti wrote: |
Disseminated Superficial Actinic Porokeratosis DSAP
It is inherited in a dominant fashion, so either mom or dad was spotted, unless they were seriously sun avoidant.
I have tried laser, Glycolic at 30%, Tazorac (a retinoid), azelaic acid 20%, salacylic acid 4% and have met people who have tried nitrogen freezing and IPL. I also inadvertently hit one on my chest with IPL, and it got darker so I used some lightening creams and my usual sun avoidance. Mostly nothing changes it, but laser (that was a woman who worked at the place I get my IPL, not sure of wavelength) and IPL made it more obvious for quite some time. Glycolic made it red and faded within weeks.
I have never tried Hydrogen Peroxide (H2O2) but expect it would not work, and likely would not cause much difference unless the skin barrier had been disrupted with lots of solvent first. And the problem is genetic and starts at the level of the basement membrane of the epithelial cells so the regrown skin will look the same. I am watching the genetic forums but it is not exactly deadly so not getting much research money.
Just don't want undiagnosed DSAP sufferers to knock themselves out with stuff that won't work. It is much more prevalent than the websites that indicate it is 'rare'. I spot it everywhere I go in the summer in my mainly white skinned community.
The other problem is that even with no more exposure to sun the skin gets thinner and more uneven with respect to pigmentation. My forearm skin, at 54, looks like a 90 year old's, mottled, shiny unpigmented and variously pigmented spots, crepe paper wrinkling. And it is so fragile that a simple scratch from the dog produces blood blisters. I stopped sunning at about 40. Take lots of Vitamin D. |
This answers my question re one small round red spot that appeared on my shin about a yr. ago. My father, who spent his later yrs sitting in the sun, had many on his arms and legs.
I found this site re DSAP treatment. Any thoughts re the suggestions?
http://www.doctorv.ca/conditions/skin-cancer/dsap.html |
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Sat Nov 15, 2008 7:20 pm |
I took a good look at my arms and legs, and have a ton of SK spots from growing up here in FL. 
I ordered my 35% HP, and am going to try either spraying or wiping the areas...we'll see how it works for me! |
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No longer answering PM's due to numerous weird messages. |
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Sun Nov 16, 2008 11:33 am |
Hi Everyone,
Surferguy - your idea of working with the H202 in a test tube was genius!! Great idea...
As for me, the SK on my face it totally gone. Now just waiting for the redness in the underlying area to subside. Very happy though...
Just wanted to report that glycolic acid also seems to work on freckles! I had one small, light surface freckle under my lower lip (not really noticeable, but it made a great test "subject"...)
I painted on a very light layer of the 26% glycolic acid on the spot. (Just one layer - and let it dry and left it alone.) I pretty much forgot that I did that - and didn't do anything further. A few days later - the freckle just sloughed off with some dry skin. (I'm doing the Obagi Nu Derm system right now too - so peeling skin is par for the course.) No red spot - no healing time. Just the freckle is gone.
The only problem now is I seem to be spending a lot of time looking in my little teeny hand mirror trying to find more little spots that I can test on!  |
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Sun Nov 16, 2008 3:55 pm |
| taobunny wrote: |
Hi Everyone,
Surferguy - your idea of working with the H202 in a test tube was genius!! Great idea...
As for me, the SK on my face it totally gone. Now just waiting for the redness in the underlying area to subside. Very happy though...
Just wanted to report that glycolic acid also seems to work on freckles! I had one small, light surface freckle under my lower lip (not really noticeable, but it made a great test "subject"...)
I painted on a very light layer of the 26% glycolic acid on the spot. (Just one layer - and let it dry and left it alone.) I pretty much forgot that I did that - and didn't do anything further. A few days later - the freckle just sloughed off with some dry skin. (I'm doing the Obagi Nu Derm system right now too - so peeling skin is par for the course.) No red spot - no healing time. Just the freckle is gone.
The only problem now is I seem to be spending a lot of time looking in my little teeny hand mirror trying to find more little spots that I can test on! |
taobunny, do you put the nu derm products on your face after your apply the GA, or do you skip your products for that day? |
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Sun Nov 16, 2008 4:46 pm |
| rileygirl wrote: |
| taobunny wrote: |
Hi Everyone,
Surferguy - your idea of working with the H202 in a test tube was genius!! Great idea...
As for me, the SK on my face it totally gone. Now just waiting for the redness in the underlying area to subside. Very happy though...
Just wanted to report that glycolic acid also seems to work on freckles! I had one small, light surface freckle under my lower lip (not really noticeable, but it made a great test "subject"...)
I painted on a very light layer of the 26% glycolic acid on the spot. (Just one layer - and let it dry and left it alone.) I pretty much forgot that I did that - and didn't do anything further. A few days later - the freckle just sloughed off with some dry skin. (I'm doing the Obagi Nu Derm system right now too - so peeling skin is par for the course.) No red spot - no healing time. Just the freckle is gone.
The only problem now is I seem to be spending a lot of time looking in my little teeny hand mirror trying to find more little spots that I can test on! |
taobunny, do you put the nu derm products on your face after your apply the GA, or do you skip your products for that day? |
Rileygirl, I just follow the Nu Derm protocol as usual after the GA - it seemed to work fine - and even seemed to speed the cell turnover and healing. Just my experience though... It might be different for others...  |
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Sun Nov 16, 2008 5:26 pm |
| Thanks so much, taobunny. I think I will try the GA on 1 dark freckle that I have! |
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Sun Nov 16, 2008 8:42 pm |
| rileygirl wrote: |
| Thanks so much, taobunny. I think I will try the GA on 1 dark freckle that I have! |
Hi Rileygirl - Sounds like a plan. Just be careful (you may want to read the long-ish post I wrote before in this thread) and maybe do a test spot on an out of the way place (leg, foot?) to see how your skin reacts? Hope it works for you - I'll be anxious to hear how about your results! |
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Tue Nov 18, 2008 4:00 pm |
| Thanks, taobunny! I have a question. You got the 70% GA, but toned it down to 26% for your face, is that right? So, would there be a difference if I just got a lesser strength GA to start with so I would not have to tone it down? Hope that makes sense! |
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Tue Nov 18, 2008 9:18 pm |
| rileygirl wrote: |
| Thanks, taobunny! I have a question. You got the 70% GA, but toned it down to 26% for your face, is that right? So, would there be a difference if I just got a lesser strength GA to start with so I would not have to tone it down? Hope that makes sense! |
Hi Rileygirl,
Nope - not that I can see, anyway... It's just percentages. I know that Cellbone offers glycolic in 70%, 60% and 50%... (So, if you know what percentage you think you might want to end up with - then you can buy based on that...) The lesser percentages are actually a bit cheaper too - which is good.
Not knowing what I was really doing when I purchased it - I did the 70%. But, when the bottle came, it's *really* big for what I need it for. (4 oz.) Since I've only used a total of ten drops (and some of that was just mixed and then tossed...) those four ounces will probably last me a couple hundred years!!
One thing to note, though - is that I'm pretty sure you're going to want to get the *unbuffered* GA. If it's a buffered solution - it's not going to have the same strong effect as the unbuffered.
Oh, and another. I ended up with about 26% for the SKs - but I think 21% or even less might be a good place to start with for the freckles. And, try only one layer at first. You can always go back a couple days later and try again - but if you go too deep - it's not good. I think the reason why I was so successful with the one freckle is that I did a light layer - and left it alone. Then the skin just peeled off with no trauma. (And, combining it with Nu Derm Exfoderm really seems to help.) But, definitely try it on a freckle that isn't on your face. (Experimenting is good - but experimenting on a place that's not quite as important is better... ) |
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Wed Nov 19, 2008 6:21 am |
| Thanks taobunny for your answer. I think I will wait until I hit week 12 on Nu Derm and see how the freckle is looking at that time. But, I would like to try the GA on my body areas. I'll keep you posted whenever I do it! |
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Wed Nov 19, 2008 1:01 pm |
| rileygirl wrote: |
| Thanks taobunny for your answer. I think I will wait until I hit week 12 on Nu Derm and see how the freckle is looking at that time. But, I would like to try the GA on my body areas. I'll keep you posted whenever I do it! |
Hi Rileygirl - sounds like a good plan. I definitely think the Exfoderm is really great at helping the process. (And, being on Nu Derm altogether, I think is a good thing, as the skin is already stimulated... (And PEELING! LOL))
Can't wait to hear how things work out for you... (I'm so jealous that you're already almost to week 12...) |
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Wed Nov 19, 2008 4:10 pm |
| Oh, no, don't be jealous, taobunny! I am on my 8th week of Nu Derm, so, I have a little more to wait! |
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Wed Nov 19, 2008 7:10 pm |
| Reading about how the glycolic acid is working on freckles got me thinking about trying the TCA I have in the cupboard on a freckle on my hand. I gave it 3 coats of 20%, that's when it frosted. It's a very dark brown now. Hoping it will just peel off soon. Will let you know how it goes. |
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Wed Nov 19, 2008 8:47 pm |
| Mishey wrote: |
| Reading about how the glycolic acid is working on freckles got me thinking about trying the TCA I have in the cupboard on a freckle on my hand. I gave it 3 coats of 20%, that's when it frosted. It's a very dark brown now. Hoping it will just peel off soon. Will let you know how it goes. |
I can't wait to hear your results, Mishey! I have always wanted to try the TCA, but I am too chicken for that. I can do the LA, GA, etc. but something about the TCA scares me. |
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Thu Nov 20, 2008 9:45 pm |
| bethany wrote: |
I took a good look at my arms and legs, and have a ton of SK spots from growing up here in FL.
I ordered my 35% HP, and am going to try either spraying or wiping the areas...we'll see how it works for me! |
It's heeeere!!! I know what I'm going to be doing all weekend, lol. |
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No longer answering PM's due to numerous weird messages. |
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Thu Nov 20, 2008 10:07 pm |
| Good luck Bethany! Be ready for a strong burning sensation!!! (after your dermarolling blood bath you can handle anything) |
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Thu Nov 20, 2008 10:17 pm |
| mpstat wrote: |
| Good luck Bethany! Be ready for a strong burning sensation!!! (after your dermarolling blood bath you can handle anything) |
OMG...you were NOT kidding! 
I went into the bathroom, put on a rubber glove, wet a cotton round and proceeded to wipe down the back of my leg in a cavalier manner. AND THEN THE BURNING BEGAN. AND IT CONTINUED. AND I SWORE REPEATEDLY AT MPSTAT. Then I calmed down a little and switched to a Qtip and dotted the spots on my other leg and both thighs.
By this point, my first leg was an opaque white color. But interestingly, the SK didn't fizzle at all..it was like the stuff just rolled off them and onto the surrounding skin which began turning a red color. I finally jumped in the shower and washed my legs off. And the hot water was a bad, bad, choice. 
I am now dry, and am surveying the damage. The brown spots look EXACTLY the same (zero frosting), but there is a red ring around each one now. But the back of my leg that I wiped in full already looks wrinkly, like the whole thing will eventually peel. 
I think I'll wait to see what happens before I proceed any further. |
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No longer answering PM's due to numerous weird messages. |
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Thu Nov 20, 2008 10:28 pm |
Bethany - that is strange that your SK did not frost... If in the worst case your leg peels look at a brighter side - legs rejuvenation!!! 
If handling large areas is too much, work on treating SK individually. It might take longer, but might be more manageable from burning stand point.
When I covered large area with GA it burned A LOT. I imagined myself being a warrior captured by enemies, and determined to bear all and get through....  |
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Thu Nov 20, 2008 11:34 pm |
Next time I might have to resort to a glass of wine beforehand. Most people have a glass of wine wth dinner....I only drink when I am torturing myself!
The good news is the red irritation is fading, except for the lower part of my leg that I wiped directly..it is still red and hot. But I'm not particularly worried about it. The rash I still from the darn Nia24 is far more bothersome! 
I'll keep you posted on what happens over the next couple of days.  |
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No longer answering PM's due to numerous weird messages. |
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Fri Nov 21, 2008 6:19 pm |
| rileygirl wrote: |
| Mishey wrote: |
| Reading about how the glycolic acid is working on freckles got me thinking about trying the TCA I have in the cupboard on a freckle on my hand. I gave it 3 coats of 20%, that's when it frosted. It's a very dark brown now. Hoping it will just peel off soon. Will let you know how it goes. |
I can't wait to hear your results, Mishey! I have always wanted to try the TCA, but I am too chicken for that. I can do the LA, GA, etc. but something about the TCA scares me. |
Riley the freckle is now a scab. I expect it to be peeled off in a couple more days. I've had no problem using TCA but when I've done large areas I've been more on the conservative side. I've never gone for the frost. But I thought for a spot this size I'd go the frost. |
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Fri Nov 21, 2008 6:22 pm |
| Thanks for the update, Mishey. Let me know who the area looks when the scab falls off. So, you did 3 coats at 20% TCA? (Have you done your whole face with the 20% TCA? And, if so, what were your results with that?) |
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Fri Nov 21, 2008 6:57 pm |
| bethany wrote: |
Next time I might have to resort to a glass of wine beforehand. Most people have a glass of wine wth dinner....I only drink when I am torturing myself!
The good news is the red irritation is fading, except for the lower part of my leg that I wiped directly..it is still red and hot. But I'm not particularly worried about it. The rash I still from the darn Nia24 is far more bothersome!
I'll keep you posted on what happens over the next couple of days. |
Just a quick update....when I got up this morning, the irritation was pretty much all gone. I don't think I will be doing the wiping method again, but I definitely plan on hitting the SKs again this weekend with a Qtip or a paintbrush. |
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No longer answering PM's due to numerous weird messages. |
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Fri Nov 21, 2008 7:19 pm |
| bethany wrote: |
| bethany wrote: |
Next time I might have to resort to a glass of wine beforehand. Most people have a glass of wine wth dinner....I only drink when I am torturing myself!
The good news is the red irritation is fading, except for the lower part of my leg that I wiped directly..it is still red and hot. But I'm not particularly worried about it. The rash I still from the darn Nia24 is far more bothersome!
I'll keep you posted on what happens over the next couple of days. |
Just a quick update....when I got up this morning, the irritation was pretty much all gone. I don't think I will be doing the wiping method again, but I definitely plan on hitting the SKs again this weekend with a Qtip or a paintbrush. |
Great! Sounds like a good plan! |
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Sat Nov 22, 2008 1:02 pm |
| bethany wrote: |
I went into the bathroom, put on a rubber glove, wet a cotton round and proceeded to wipe down the back of my leg in a cavalier manner. AND THEN THE BURNING BEGAN. AND IT CONTINUED. AND I SWORE REPEATEDLY AT MPSTAT. |
I'm so sorry, Bethany - I'm not mocking your pain - but, OMG - your post made me snort tea at my monitor!!! |
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