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Image Number 223 (Chronic actinic dermatitis)

 
Morphology:
Plaque

Diagnosis: Chronic actinic dermatitis

Site: Arm,forearm

Sex: M

Age: 70

Type: Clinical

Description: lichenified papules and plaques on exposed forearms

Submitted by: Shahbaz Janjua

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Differential Diagnosis

History: The elderly man  in the images had a lifelong history of excessive sun exposure as he had been a farm worker throughout his life.  He presented with several years history of developing a photosensitive and pruritic eruption on the face, neck, upper chest, dorsa of the hands and forearms comprised of multiple erythematous infiltrated discrete and confluent plaques.The following case from Dermatology Online Journal gives a good description of the causes and workup of this condition.

Search DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Chronic actinic dermatitis"

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