– 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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– Excise with 2mm margin – limbs – align scar longitudinally¬†(not with relaxed skin tension lines) – Marker suture in specimen at 12 o’clock position – Sutures: – Back – 3/0 PDS dermal sutures and 4/0 Ethilon superficial sutures. Remove in 10 days to 2 weeks – Other sites on body – 4/0 vicryl on ..

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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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General Occlusion of hair follicle infundibulum and then inflammation IL-36 (pro-inflammatory and part of the IL-1 family) may be relevant (IL-36 in hidradenitis suppurativa, Br J Dermatol 208; 178; 761-767) Risk of HS is doubled in smokers compared to non-smokers (Tobacco smoking and hidradenitis suppurativa, Br J Dermatol 208; 178:709-714) History – Age started – ..

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