She Strengthens

Uncovering the Beauty of Dermatosis Papulosa Nigra

Growing up in a Black family, I was always fascinated by the small, dark spots that adorned my grandparents’ cheeks. These “Morgan Freeman moles” or “Black Auntie dots” added character to their faces, but I never really knew what they were. As I got older, my curiosity turned into a quest for answers.

What is Dermatosis Papulosa Nigra?

Dermatosis papulosa nigra (DPN) is a harmless skin condition that appears as small, circular raised bumps on the face and/or neck. According to Dr. Adeline Kikam, DO, FAAD, these lesions begin flat and slowly become raised over time. Unlike moles, DPN is never cancerous and predominantly affects people of African and Asian descent.

The Prevalence of DPN

As of 2021, the cause of DPN remains unknown, but researchers believe it may be inherited through genetics. Studies suggest that up to 75% of people with DPN have a family member who also has the condition. DPN affects up to a third of African Americans today, with women being twice as likely to develop the condition as men.

The Importance of Early Detection

New York City board-certified dermatologist Dr. Elyse Love, MD, FAAD, recommends visiting a dermatologist annually to evaluate whether “all lesions are indeed DPNs.” Early detection can help alleviate concerns and promote self-acceptance.

Embracing the Beauty of DPN

Similar to freckles or birthmarks, people with DPN may face ridicule, but many say it only moderately affects their overall quality of life. Musician and songwriter Mary Akpawa describes her skin as “rich, nuanced, luxurious.” However, she wasn’t always comfortable in her own skin. Mary’s journey to self-love was marked by bullying and self-doubt, but a family member’s positive words changed her perspective.

Legacy and Connection

While some may choose to remove their DPN marks, I see them as a symbol of legacy and connection to my Black heritage. These dark spots represent history, richness, and a common bond that transcends generations. They are a reminder of the beauty and strength of Black people, and a celebration of our unique experiences.

A Mark of Beauty and Pride

As I look around at my family and friends, these dark pearls adorn their skin in the most beautiful ways. They are a testament to our resilience and a reminder that our differences are what make us unique and beautiful.