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Actinic Keratosis: Two Cases

Actinic Keratosis: Two Cases


Case 1:

A 63-year-old woman seeks evaluation of a persistent, rough, red area on
the dorsum of her left index finger. The lesion has been present for several
months. The patient's manicurist is convinced it is a wart.

What does it look like to you?

A. A wart.
B. A granuloma annulare.
C. An actinic keratosis.
D. A seborrheic keratosis.
E. A dermatophyte infection.

Your initial approach is to:

F. Perform a potassium hydroxide evaluation.
G. Perform cryosurgery.
H. Offer reassurance only.
I. Prescribe a corticosteroid cream.
J. Prescribe a combination antifungal/corticosteroid cream.


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