September 2021 - Case of the Month
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
Welcome back to the new look PCDS website, and our first case.
This lady was referred as a 2-week wait with a changing lesion on the right temple.
The patient was seen by one of our dermatology nurse specialist's (working alongside the doctors). The lesion was raised brown and warty with no worrying characteristics, however, Louise's 6th sense told her to have a pick ........
What are the diagnoses?
The diagnoses are:
There are rare reports of malignant transformation of seborrhoeic keratoses, however, a more likely explanation is perhaps of a collision tumour ie one very common tumour (a seborrhoeic keratosis) arising at the same site as another common tumour (BCC).
This is a case of interest, which should not change your practice - please don't start picking off all seborrhoeic keratosis, unless something is telling you to do otherwise, but do continue to tell patients that seborrhoeic keratoses are harmless and that they don't need to be reviewed even if they grow.
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 52 year old man presented with a one year history of skin lesions predominantly on his hands, ears and scalp. He was also complaining of painful swollen fingers associated with morning stiffness. There was no family history of skin or joint problem...
A 72 year old man was referred with a rash, predominantly on the legs. The patient was systemically well and the lesions were only mildly symptomatic. The lesions presented as one to several at a time lasting several weeks. They had not res...
Welcome back to the new look PCDS website, and our first case. This lady was referred as a 2-week wait with a changing lesion on the right temple.
A 15 year old lady was referred for a diagnostic opinion for skin changes presenting in birth, affecting the right upper back, shoulder, antecubital fossa and dorsal wrist. The patient was asymptomatic and otherwise well.
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