Dr. Sushil Kakkar
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have soreness on arm and scabs but when the scab falls off, it does not heal. An original sore was small rounded with a crust. Sore is over a year old. I am using aloe vera cream and steroid cream for a month.
Hello,
Welcome to icliniq.com.
I have noted your concern and I have viewed the images (attachment removed to protect patient identity). I can see a crusted plaque. This could be either in situ carcinoma (Bowen's disease) or a squamous cell carcinoma. I can see signs of photodamage in the background, lots of sunspots. I suggest a skin biopsy. Do you have any symptoms like pain or itching?
Patient's Query
Thank you doctor,
There is no pain or itching. A little bleeding is there. Would you rule out melanoma?
Hi,
Welcome back to icliniq.com.
My first possibility would be either a squamous cell carcinoma or Bowen's disease since this is a sun-exposed site. Melanoma is a less likely possibility. It is usually dark or pigmented whereas this is a red, crusted patch.
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Dermatology
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