Published on Oct 16, 2020
Robbins Review Vignettes

A 50-year-old woman has been bothered by a discolored area of skin on her forehead that has not faded during the past 3 years. On physical examination, there is a 0.8-cm red, rough-surfaced lesion on the right forehead above the eyebrow. A biopsy specimen examined microscopically shows hyperkeratosis and thinning of the epidermis with atypical basal cells. The upper dermal collagen and elastic fibers show homogenization with elastosis. Which of the following is the most appropriate advice to give this patient?

  • Reduce intake of dietary fat
  • Wear a hat outdoors
  • Stop taking aspirin for headaches
  • Apply hydrocortisone cream to your face


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