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Squamous Cell Ca
Basal Cell Ca
Eczema
Psoriasis
Impetigo
Site
Size
diameter >7mm
varies from mm to cm
varies from mm to cm
Shape
asymmetrical
lumps
round or irregular
asymmetrical
asymmetrical
asymmetrical
Border
irregular
poorly demarcated
well demarcated
Colour
erythematous
erythematous
honey-coloured with
surrounding
erythematous skin
Features
scaly (superficial),
central ulcer (nodular)
plaque, crusted,
oozing/producing pus,
non-bullous
Ass. Symp
Mx
excision biopsy
- Breslow thickness
(invasiveness)
- Clark level of invasion
(risk of metastasis)
surgically removal,
staging and F/U
curative
surgery excision and
radiotherapy
emollients, topical
steroid ointments
Urticaria
(hives)
Campbell de Morgan
(cherry haemangioma)
Skin Tags
(acrochordons)
Seborrhoeic keratosis
(seborrhoeic warts)
Erythema Nodosum
Site
Size
varies from mm to cm
commonly 1-2cm
1-3mm
0.2-0.5cm in diameter
2-6cm
Shape
often round
round
round or oval
round-ish
irregular
Border
well defined
well defined
well defined
well defined
poorly defined
Colour
brown or black
skin colour
hyperpigmented, black
erythematous, turns
purple, yellow, resolve
Features
flat or protruding
pedunculated, hang
from skin
angioedema, swollen
tongue/lips
asymptomatic
fever, arthralgia,
aching, am stiffness
congenital
- cafe au lait patches
- mongolian spots
acquired
- sun exposure
-middle-older age
-formed by dilated and
proliferated capilarries/
post-capillary venules
-caused by pregnancy,
prolactinoma, chemical
autosomal dominant?
associated with HPV?
indicative of underlying
infection:
streptococcal infection
is most common
consider sarcoid, TB, GI
infections, IBD, fungal
infection, lymphoma,
pregnancy, rarely EBV,
Hep B/C, HIV, leprosy
(Hansen's disease),
sulfonamides
antihistamine
reassurance or removal
cryotherapy, excision,
electrosurgery
(diathermy), ligation
Ass. Symp
Pathology
Mx
incidencewith age
onset is common in
middle-aged
reassurance, removal
(cryo, cautery, sahve
excision)
self-limiting.
RICE, NSAIDS, rarely PO
potassium iodide