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To the PubMed site, part of NIH, part of HHS:
http://www.ncbi.nlm.nih.gov/pubmed
Type in 'porokeratosis' in the Search box at the top, and note it responds even before hitting Enter with a dropdown box of many suggested sub-names and topics! Do you know which type you have been diagnosed with? There's actinic, and there's ptychotropica...
Looking up one of the Searches yields this one:
www.ncbi.nlm.nih.gov/pubmed/10071323
Disseminated superficial actinic porokeratosis is characterized by multiple, brown, annular, keratotic lesions that develop predominantly on the extensor surfaces of the legs and arms during the third and fourth decades of life. No ideal treatment of disseminated superficial actinic porokeratosis has been found. We describe a patient with this condition whose skin lesions responded to topical tacalcitol.
Looking up tacalcitol, it is this:
encyclopedia.thefreedictionary.com/Tacalcitol
Tacalcitol is a synthetic vitamin D3 analogue that is used to treat psoriasis. Tacalcitol exerts its biological activity by preventing the proliferation of keratinocytes. Tacalcitol is marketed under several names, including Curatoderm and Bonalfa.
Here is what the various D3 isomers look like, including tacalcitol:
http://www.uspharmacist.com/CMSImagesContent/2009/7/USP0907-Consult-F2.gif
So, the obvious questions to ask are:
1. What happens if you get lots of sun, say several hours per day? Does it get worse, or better, or neither?
2. Can you get a doctor to give you an Rx for the D3 skin cream used for psoriasis, to try on your skin for your condition? (This might involve "off-label use", which is allowed! 3. How much different can the body's metabolism be among the different isomers of D3? In other words, to see if the D3 taken internally might work instead of on the skin, have you tried taking a Vitamin D3 supplement for a few weeks consecutively at least, even up to the higher doses of 5000-10, 000 IU/day as recommended by several well known doctors like Wright and Williams?
BTW, if you're not Caucasian you will have a much harder time getting enough D3 made through sun skin action, even if in southern latitudes nearer the Equator and even if between 10 AM-2 PM! I hope you can find something useful in the above.
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