Genital porokeratosis: Treatment with diclofenac topical gel

Abstract

Genital porokeratosis (PK) is a rare and probably underestimated subset of PK that mostly affects middle‐aged men. As in other clinical variants of PK, management can be difficult. Surgery and CO₂ laser vaporization may be efficient on individual lesions but topical treatment can be considered when the elements are more scattered and/or more numerous. We report the case of a 68‐year‐old man with a disseminated PK following a 20‐year history of lesions restricted to the genitalia for whom 3% diclofenac gel succeeded in stabilizing their evolution and achieving symptomatic relief. In conclusion, topical diclofenac could be worth considering in the management of genital PK with numerous lesions.

• Diclofenac sodium
• genitalia
• porokeratosis