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Brenda Chrastil, MD; Adrienne S. Glaich, MD; Leonard H. Goldberg, MD, FRCP; Paul M. Friedman, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Disseminated superficial actinic porokeratosis (DSAP) occurs diffusely in sun-exposed areas, notably the legs and forearms. The exposed nature of the lesions can cause emotional distress among patients. Additionally, these lesions present a risk of transformation into invasive squamous cell carcinoma. Treatments for DSAP have had mixed results, especially for extensive lesions. We report 2 cases of DSAP responding to treatment with fractional photothermolysis.

Report of Cases

Case 1

A 47-year-old woman with Fitzpatrick skin type II presented with multiple, pruritic, scattered, red-brown macules with peripheral scale covering her lower extremities, clinically consistent with DSAP. Biopsy findings confirmed the diagnosis. Previous treatments included cryotherapy, topical diclofenac, tazarotene, and intralesional triamcinolone.

The patient underwent 3 treatment sessions at 4-week intervals with fractional photothermolysis to the anterior surfaces of both legs and thighs with a 1550-nm erbium-doped fiber fractional photothermolysis laser (Fraxel . . . [Full Text of this Article]

Case 2

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