Thursday, January 19, 2017

Seborrheic Keratoses- Management

                                             Seborrheic keratoses seen in an Elderly man 

An 82-year-old nursing home resident is seen on monthly rounds. The floor nurse points out the skin lesions shown here. The patient is asymptomatic. Appropriate management includes
A) Punch biopsy
B) Topical 5-fluorouracil cream
C) Cryotherapy
D) Hydrocortisone cream
E) Observation

Answer: The answer is E. (Observation)

Discussion: Seborrheic keratoses are common skin lesions that affect the elderly. They tend to run in families. The average diameter is 1 cm, but they can grow to 3 cm in diameter. The lesions are brown or black, oval in shape, raised, and have a “stuck on” appearance.

They most commonly occur on the face, back, neck, and scalp. They may appear suddenly and become pruritic and crusted. Numerous lesions that appear rapidly may signal the development of an underlying malignancy.
Treatment is cosmetic and usually reserved for those that are inflamed or causing symptoms.

2 comments:


  1. I feel so excited today because it's just a year since I got my breakthrough from Herpes.I was diagnosed of HSV1 on the 12/4/2015 and latter i got affected with the HSV2. That was my 2nd outbreak after i lost my ex fiance that got me affected with the virus. I was so scared when he died and what i heard about the Herpes virus as he's deathly and such has no cure. I feel so pity and and a disgrace to my personality,in my career and my family to have been in with the deathly sickness, and that would makes my love ones siblings stay far from me. I was going to my regular church activities when i begin to hear testimonies of how people get cure online, i never gave it a thought till my cousin Stephanie who was affected with HIV told me, Lenny you need not to worry cos i met i man today online , i traditional herbal healer whom two of her friends confirmed he cure them with his herbal herbs that i should give it a try. I saw the interest in her and she did contact the herbal doctor again in my present, luckily for me he picked and show up himself, behold he was at about to attain to some patients that have came back with appreciation of how he cure them from Cancer, HIV, and off much too the herpes he cured an 18 years old daughter.
    I was so happy that day, i wanted to be there but the distance was a barrier to me. I told him how the virus had eaten me up and and a truly believe there's cure for herpes. He told me me with assurance that my case wont be different and he had been curing lots of people With his herbal medicine and most people due contact him from the States and preperd the medicine and made use of the DHL to reach him.
    Honestly speaking Dr. Akpu power his a great and gifted herbalist,His destined to herbs.
    He made me do away with the medical prescription,the acyclovir (Zovirax), famciclovir(Famvir), and valacyclovir (valtrex). you don't know him because you haven't meet this man try and contact him yourself Dr. Akpu in Africa is popularly known in his City,and you can request for his address yourself. I'm so happy now cos,I and my cousin had been confirmed negative till date..the Lord is good in my life. Dr. Akpu sent me his herbal medicine that heal me too, 🙏 🙏 Dr. Akpu for giving me another life.
    Contact Dr.akpu for all kids of sickness@
    Dr.akpupowerherbscenter@gmail.com

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  2. I TESTED POSITIVE TO HIV SINCE 2018

    I was told by my doctor that there's no possible cure for it but it can be suppressed with the use of medication!! I felt depressed & sad. I started taking my medication. I felt frustrated, so I tried to seek help online when I came across this website (https://chiefdrluckyherbaltherapy.wordpress.com/) of a doctor called Chief Dr Lucky.  Also I saw a lot of testimonials about him on how he uses natural herbal medicine to cure HIV AIDS and numerous Infections & different kinds of disease as well. So I contacted him and told him my problems after a brief consultation with him. He Prepared and  sent me the herbal medicine and I took it as he instructed me, Then he called me 3weeks after to go and have a check-up!! It brought out testing negative, I felt calm a bit, and the doctors day for more clarity I will have to come back after 1week of which I did and tested negative for the second time !! I am so wow and grateful to this doctor whose medicine has NO SIDE EFFECT, there's no special diet when taking the medicine. He also have cure for 
    +HERPES 
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    +HIV/AIDS
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