Quiz
Mixed diagnoses – 10 cases (11 of 11)

For each of the ten cases, study the image and then answer the questions. You can click on the image to view a larger version if required.

Each case should take approximately five minutes to complete. There is a list of suggested further reading material at the end of the quiz.

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Case 10

This elderly gentleman has noted gradually increasing numbers of asymptomatic white papules on his face over the last few years.

What is the diagnosis?

Senile comedones

What is the treatment?

The skin should be protected from the sun, as senile comedones are thought to be related to elastosis caused by long term sun exposure. The lesions can be treated by light diathermy, followed by topical tretinoin. They tend to recur so repeated treatment is necessary.

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