Dermatology clinic

Recurrent scaly papules on sun-exposed skin

Dermatology clinic

Recurrent scaly papules on sun-exposed skin

ASHOD KHERLOPIAN, REBECCA BRONWYN SAUNDERSON

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Abstract

Test your diagnostic skills in our regular dermatology quiz. What are these scaly papules, some of which are on an erythematous base, on an elderly woman’s face, hands and feet?

Article Extract

Case presentation

A 95-year-old woman presenting for a routine skin examination reports scaling and itching on her cheeks and forehead and the dorsum of her hands and feet. She has a history of nonmelanoma skin cancers, including invasive squamous cell carcinomas (SCC). She describes living and working in the tropics as a missionary and recalls sun baking with coconut oil in her youth and experiencing a number of severe blistering sunburns.