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==Clinical Features== | ==Clinical Features== | ||
[[File:Basal cell carcinoma2.jpg|thumb|Ulcerated basal-cell carcinoma affecting the skin of the nose in an elderly patient.]] | |||
[[File:basal cell carcinoma.JPG|thumbnail]] | |||
*Slow growing | *Slow growing | ||
*Usually head and neck | *Usually head and neck | ||
*Only where hair follicles exist | *Only where hair follicles exist | ||
*Pearly nodule with telangiectatic vessels, rolled border and central ulceration | *Pearly nodule with telangiectatic vessels, rolled border and central ulceration | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revisión del 19:54 8 sep 2020
Background
- Most common skin malignancy
- Rarely a metastatic process
Risk Factors
- UV radiation
- Chronic arsenic exposure
- Ionizing radiation
- Immunosuppression
Clinical Features
- Slow growing
- Usually head and neck
- Only where hair follicles exist
- Pearly nodule with telangiectatic vessels, rolled border and central ulceration
Differential Diagnosis
Other Rash
- Acute generalized exanthematous pustulosis
- Allergic reaction
- Aphthous stomatitis
- Atopic dermatitis
- Coxsackie
- Dermatitis herpetiformis
- Exfoliative erythroderma
- Impetigo
- Pellagra
- Pityriasis rosea
- Serum Sickness
- Tinea capitus
- Tinea corporis
- Vitiligo
Evaluation
- Clinical examination by trained clinician (dermatology referral)
- Skin biopsy
Management
- Not typically managed within ED
Disposition
- Discharge with derm follow up