History – Sun exposed Exam – ‘Roughened’, red scaly areas. – Can sometimes be sore Treatment Sun advice Efudix (5-Fluorouracil) once daily for 28 days (follow-up 4 months) ————————————————– Alternatives: Solaraze – twice daily for 3 months around 60-70% chance of clearing (follow up 6 months) Cryotherapy – 2 x 7 second freeze-thaw cycles. Risk ..

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– Affects scrotum (approx 10% of men over the age of 50) or vulva – Look like haemangiomas – can present with bleeding Investigations – Abdominal USS – Rule out abdominal masses – Testicular USS – Rule out varicocoele – Urine dip +/- urology referral to rule out urinary tract tumours – Consider alpha-galactosidase enzyme testing ..

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