Ecchymoses and Erosion on Fragile SkinSeptember 18th 2013
These wounds occurred when this 77-year-old woman fell when chasing her dog. Such wounds-a combination of ecchymoses and erosion caused by blunt and sheering forces on fragile skin-are common in the elderly, even after relatively mild trauma. Simple interventions will promote healing.
Actinic Keratosis in a 60-Year-Old WomanSeptember 5th 2013
The differential diagnostic possibilities for this tender nodule included hypertrophic actinic keratosis, keratoacanthoma, squamous cell carcinoma, and verruca. The possibility of squamous cell carcinoma dictated removal with histologic examination.