18 year old girl presented with a verrucous lesion which appeared as a small lesion 6 years back which grew to its present size. It started to wither in last 6 months associated with itching. 1. Diagnosis 2. Differential diagnosis 3. Treatment

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I agree with with Dr Ashok Biopsy is essential to establish the diagnosis of seborrhoeic keratosis. Differential to be looked at is Melanoacanthoma Treatment Done for cosmetic reasons Retinoic Acid 0.1%gel applied in the crevices helps in clearance in this case. Curretage, electrosurgery as suggested by Dr Ashok.

Sir how would u differentiate seborrhoeic keratosis from hyperkeratotic actinic keratosis?
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it may be seborrheic keratosis. DD melanoma. to confirm do a biopsy. if not melanoma then u can go for cryosurgery/ electro surgery/ curettage. Usually SD are harmless, need no treatment. Runs in families. It may be present or develop in other part of body.

? SEBORRHEIC KERATOSIS .. ? MELANOMA .. ? HYPERTROPHIC.. MELANOCYTIC NEVUS.. NEED'S.. BIOPSY FOR CONFIRMATION..

Melanoma

BESIDES THIS LESION PATIENT ALSO HAS GOT PREAURICULAR SKIN TAG ONE MUST EXAMIN HIS ANT SEGMENT AND POST SEGMENT IF WE FIND LIMBAL DERMIOD THEN THENNTHIS A CASE OF GOLDENHARS] SYNDROME

Seborrhoeic keratosis. DD: melanoma. Next investigation: Biopsy.

Melanocytic naevi. Agree with everyone here, biopsy must to r/o a melanoma.

Seborrhoeic keratosis . Biopsy to rule out melanoma.

biopsy needed. dd melanoma, Seborrhoeic keratitis

Advised biopsy,

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