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Any Disseminated Superficial Actinic Porokeratosis (DSAP)

Skin Health | Last Active: Jul 27 11:40am | Replies (37)

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@mnu730
I hear you and completely validate your feelings about this. I'm 49 yrs old and was just diagnosed this year although I think I knew something was off as I had scaly patches appearing around age 43 that weren't discolored but definitely not "normal" skin. I don't have the answer for how to carry this yet, as I'm still getting my bearings. I'm currently on day 82 of the Lovastatin/Cholesterol regimen. I've noticed that it does improve my lesions and removes some of them. I have a variety of types - probably just different stages or presentations. Did you try this cream? Although the trial periods were for 12 weeks, my derm suggested that some patients of hers that continue using it frequently see 90-100% clearance from a longer cycle. Because each skin cycle is regenerating properly when the pathway is corrected by the statin, the skin needs many cycles to push the dead disordered keratinization off the top layers of skin. This takes much longer on legs because that skin regenerates at around 40 days vs 25-28 for arms. (I realize you didn't ask about treatment options, but I'm very curious about people's individual experiences with the lovastatin cream)
As far as your question regarding mental state and coping emotionally, I find I feel best when i focus on what I'm grateful for. I definitely think it's normal to grieve our skin and lives before worrying about spots and UV levels. It's also a shock to anyone to hear that you have a "rare" mutation in your body. I find this diagnosis to be "stifling" and it feels like a loss of freedom until you get your mind around it (i have good days and bad days). My current mantra is "Win the Day" meaning I need to focus particularly on things that create a good day for me and not the spots. If that means covering up and not looking at them that day, then so be it. Also, I have found that preparing a wardrobe that fits the season but makes you feel good and like yourself helps a lot. It's July and the summer struggle is REAL. Even as my spots fade, I'm so fair that I don't really want to expose my skin in the sun (for fear of UV exposure). I used to enjoy getting some color and being on the beach all carefree and whatnot. I loved the lounge chairs by the pool. I think the key is to find out how to do the things you love in a different way. I really like what midtown nana said - radical acceptance. I'm not there yet, but once again I've been dealing with this for 3 months, not 30 years. I do think trying to love your body for what it can do regardless of how it looks is something that I strive for. Also, look up Palvella Pharma - they are working on a new drug specifically for DSAP. See announcement here...https://ir.palvellatx.com/news-releases/news-release-details/palvella-therapeutics-announces-new-qtorintm-product-candidate.
I do think this is a mental game in the end - meaning we choose our thoughts about it and we can choose to focus on it or something else. Our thoughts create our emotions at times and it's exhausting for things not to be EASY but I guess everyone has a struggle and luckily for us this is primarily an aesthetic challenge. I'm happy to converse about this at any time if you need moral support.
Best,
Sarah

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Replies to "@mnu730 I hear you and completely validate your feelings about this. I'm 49 yrs old and..."

@ddb77 Thank you so much for taking the time to respond. I actually just filled my prescription for the 2% lovastatin/cholesterol cream, so I'm hopeful it might give me some relief. After living with this for over 10 years, my arms and legs feel very noticeable to me, so even a partial improvement would mean a lot.
This is honestly the first place I've found where other people truly understand what living with DSAP is like. I really appreciate your kindness. Posting here was outside my comfort zone, but I reached a point where I just needed to hear from people who "get it."
I also wanted to say that I do believe in therapy, and I've spent years doing that work. It's helped me heal in many areas of my life and has changed me in ways I'm grateful for. That's actually why this feels so difficult this is one area where I still don't know how to make peace with it.
I know that radical acceptance is the path forward. It’s what Byron Katie says, "loving what is," and I understand the wisdom in it. I just don't know if I'm there yet. Living with this for so long has changed how I move through the world in ways that are hard to explain, and right now it just feels heavy.
Thank you again for sharing your experience. It genuinely helped to feel less alone.