Seborrhoeic keratoses are one of the most common skin tumours.[1]Seaton E, Madan V. Benign keratinocytic acanthomas and proliferations. In: Barker J, Griffiths C, Bleiker T, eds. Rook's textbook of dermatology. 10th ed. Hoboken, NJ: John Wiley & Sons, Ltd; 2024.[7]Barthelmann S, Butsch F, Lang BM, et al. Seborrheic keratosis. J Dtsch Dermatol Ges. 2023 Mar;21(3):265-77.
https://onlinelibrary.wiley.com/doi/10.1111/ddg.14984
http://www.ncbi.nlm.nih.gov/pubmed/36892019?tool=bestpractice.com
Men and women are affected equally. The prevalence of seborrhoeic keratosis increases with age and sun exposure.[3]Yeatman JM, Kilkenny M, Marks R. The prevalence of seborrhoeic keratoses in an Australian population: does exposure to sunlight play a part in their frequency? Br J Dermatol. 1997;137:411-414.
http://www.ncbi.nlm.nih.gov/pubmed/9349339?tool=bestpractice.com
In people with white skin, they are common over the age of 60 years and uncommon under age 30 years. In a survey of workers in Germany, the prevalence of seborrhoeic keratosis was 1.4% in people aged between 16-20 years, 24.2% aged between 41-50 years, and 66.7% aged between 61-70 years.[9]Augustin M, Herberger K, Hintzen S, et al. Prevalence of skin lesions and need for treatment in a cohort of 90 880 workers. Br J Dermatol. 2011 Oct;165(4):865-73.
https://academic.oup.com/bjd/article-abstract/165/4/865/6643919
http://www.ncbi.nlm.nih.gov/pubmed/21623753?tool=bestpractice.com
In a survey of female volunteers in Indonesia, the prevalence was 47% in the 20-30 year age group and increased to 59% in the 41-50 year age group and 65% in the 51-60 year age group.[10]Du Y, Doraiswamy C, Mao J, et al. Facial skin characteristics and concerns in Indonesia: a cross-sectional observational study. Skin Res Technol. 2022 Sep;28(5):719-28.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9907585
http://www.ncbi.nlm.nih.gov/pubmed/35785442?tool=bestpractice.com
The trunk and forehead are most commonly affected.[11]Jackson JM, Alexis A, Berman B, et al. Current understanding of seborrheic keratosis: prevalence, etiology, clinical presentation, diagnosis, and management. J Drugs Dermatol. 2015 Oct;14(10):1119-25.
http://www.ncbi.nlm.nih.gov/pubmed/26461823?tool=bestpractice.com
There are many different subtypes of seborrhoeic keratosis. Dermatosis papulosa nigra is a common subtype of seborrhoeic keratosis which is more prevalent in people with brown and black skin (Fitzpatrick skin type IV, V or VI). Lesions usually start to appear in adolescence and are usually found on the face, neck and chest; incidence increases with age.[1]Seaton E, Madan V. Benign keratinocytic acanthomas and proliferations. In: Barker J, Griffiths C, Bleiker T, eds. Rook's textbook of dermatology. 10th ed. Hoboken, NJ: John Wiley & Sons, Ltd; 2024.[12]Bhat RM, Patrao N, Monteiro R, et al. A clinical, dermoscopic, and histopathological study of dermatosis papulosa nigra (DPN) - an Indian perspective. Int J Dermatol. 2017 Sep;56(9):957-60.
http://www.ncbi.nlm.nih.gov/pubmed/28485013?tool=bestpractice.com