Dime-Sized, Red, Scaly Patch: Your Dx?

November 14, 2014

A 58-year-old man asks about this painless lesion on his left third digit. It does not itch, burn, or sting and there are no other similar lesions. He had a history of basal cell carcinoma on the arm and several more recent actinic keratoses on his scalp. What’s your diagnosis?

A 58-year-old man asks about this painless lesion on his left third digit. It does not itch, burn, or sting and there are no other similar lesions. He had a history of basal cell carcinoma on the arm and several more recent actinic keratoses on his scalp.

What’s your diagnosis?