– Stuck on appearance – Warty, roughened or greasy surface – Well demarcated border – Usually from mid-late 30’s onwards – Can itch/be irritated Dermatoscopic features – Cerebriform surface – No pigment network – Comedone like openings – Milia like cysts – Hairpin vessels at periphery – Moth eaten border – ‘Fingerprint’ structures Treatment – ..

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Check Drug History Stop NSAIDs – including Difflam mouthwash (Benzydamine) Stop any other offending drugs 2 x 4mm punch biopsy – one for H+E (lesional in formalin) and one for IMF (perilesional in Michel’s transport media) Eyes – Urgent Ophthalmology review – need to prevent pseudomembrane formation Mouth ENT/Oral Medicine review. Betnesol 500mcg dissolved in ..

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