Test 1 - Brown/Black Lesions

Question 1

Characteristic:
A,B,C,D,C (need 1)
Association:
Sun,, chemicals
Management:
Aggressive removal

Answer 1

Melanoma

Question 2

Characteristic:
“stuck-on”, head, neck, back, shoulders, warty
Association:
Sign of Leser-Trelat, sudden, explosive: adenocarcinoma
Management:
Cosmetic: curette, electrodessication, etc.

Answer 2

Seborrheic Keratosis

Question 3

Characteristic:
Dark skin, hands/feet/nails
Association:
Hutchinson’s sign (pigment spreading)
Management:
Poor prognosis; aggressive removal

Answer 3

Acral Lentiginous Melanoma

Question 4

Characteristic:
Dark skin, malar, etc.  2mm papules
Association:
Cosmetic. Treatmt may scar, pigment
Management:
Leave alone, or remove as above

Answer 4

Dermatosis Papulosa Nigra

Question 5

Characteristic:
Junctional: dark, macular
Compound, lighter papular, Dermal: soft, mobile ?hair
Association:
Only a very small percentage become malignant;
Management:
Observe for A,B,C,D,E

Answer 5

Nevus/Nevi

Question 6

Characteristic:
Dimple Sign
Association:
Distinguish from melanoma
Management:
Cosmetic; currette, electrodessication

Answer 6

Dermatofibroma

Question 7

Characteristic:
Usually darker skin, dermal repair
Association:
Post-acne and others
Management:
Sunscreen, chemical peel, niacinamide topical

Answer 7

Post-Inflammatory Hyperpigmentation

Question 8

Characteristic:
Café au Lait patches, flexor freckling, nodules w/ button-holing
Association:
Scoliosis, renal artery narrowing, etc.
Management:
integrate, add supportive: core stabilization, blood pressure screening..

Answer 8

Neurofibromatosis

Question 9

Characteristic:
Can be dark colored, soft, in flexor zones
Association:
DM, metab. syndr, endocrinopathy, obesity, menopause
Management:
Remove with shears, attend to predisposer

Answer 9

Skin tags/acrochordons(can also be skin colored