The whole "picks at the lesion...causes some bleeding", made me think Psoriasis. Should have gone with Actinic Keratosis based on the patient history (lots of sun exposure).
Actinic Keratosis
Premalignant lesions caused by sun exposure. Small, rough, erythematous or brownish papules or
plaques. Risk of squamous cell carcinoma is proportional to degree of epithelial dysplasia.
thisisfine Same - the bleeding thing pushed me over to psoriasis as well. Oops.+6
temmythe distribution of the other lesions, forearm, face, ear, scalp..is not characteristic for psoriasis.+8
hyperfukusthe scalp and ear are actually very common for psoriasis IRL the key is more of the fact that its in areas with UV exposure...actually UV Therapy is found to be helpful in treating some pts w/Psoriasis. Lastly the appearance and lots of things bleed if they were trying to go for auspitz sign it would have tiny dots of bright red blood with slightly touching it +7
hyperfukusoh last thing psoriasis itches! they said no itching +7
drzedThose locations may be common IRL, but on step 1, if they want you to think psoriasis, the illness script is going to be someone in their 30s (autoimmune age) with symmetric cutaneous plaques that have a silvery scale on the extensor surfaces.
In this case, the age and non-classic description (location, type of lesion) made me steer away from psoriasis. +3
makinallkindzofgainzYes it is. These areas are all sun-exposed areas, and he is a farmer. Multiple years of sun-exposure can lead to Actinic Keratosis, a precursor of SCC. +3
mangotango@makinallkindzofgainz -- I think cry2mucheveryday means "distribution is not characteristic" of psoriasis+1
submitted by โsympathetikey(1600)
The whole "picks at the lesion...causes some bleeding", made me think Psoriasis. Should have gone with Actinic Keratosis based on the patient history (lots of sun exposure).
Actinic Keratosis
Premalignant lesions caused by sun exposure. Small, rough, erythematous or brownish papules or plaques. Risk of squamous cell carcinoma is proportional to degree of epithelial dysplasia.