Stucco Keratosis

Stucco Keratosis.jpg

A stucco keratosis was first described by Kocsard and Ofner in 1965.

 

They are described as "benign keratotic papules"   - which essentially means a small raised, non-invasive (or non-cancerous) skin lesion t

These are found on the lower limbs.

Cause

  • The exact cause is unknown. Most patients report a history of prolonged or severe solar exposure but the relationship of this to the development of the lesions is uncertain. Surface friction may contribute to the development of the lesions.

History

  • More common in men than women

  • Usually found in patients aged over 40 years

  • Asymptomatic

 

 

Clinical findings

  • Lesions are numerous

  • Mainly on the lower legs, and tops of the feet. Can also develop on the forearms and backs of the hands
     

  • Appearance

    • Size - 1 to 10 mm in diameter

    • Colour - white / grey

    • 'Stuck-on’ appearance

    • Dry / rough surface

    • Easily removed and do not bleed when come away

 

Management

Step 1: Reassurance

  • Lesions are benign and so no specific treatment is needed
     

Step 2: General measures

  • Advice on UV protection

  • Urea containing emollients. We have a selection of these cream in clinic that you can purchase.
     

Step 3: physical treatments

  • Are best avoided if possible

  • Cryotherapy (freezing the areas) has been used, but on the lower legs it can cause ulceration so isn't advised.