Diagnosis of Seborrheic keratosis
Seborrheic keratosis Diagnosis: Book Excerpts
Diagnostic Tests for Seborrheic keratosis: Online Medical Books
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SKIN THICKENING:
DIAGNOSTIC WORKUP
(Algorithmic Diagnosis of Symptoms and Signs)
In cases of diffuse thickening of the skin, a thyroid profile with T
3
, T
4
, and TSH should be done. This should also identify hypothyroidism. A positive ANA test with a speckled pattern will help identify scleroderma, but a skin biopsy should also be done. An antisclerodermal antibody titer is also useful if available. Esophageal motility studies will be helpful in early diagnosis. A skin biopsy will help identify many of the other conditions mentioned above. Urine for porphyrins will help identify porphyria.
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Source: Algorithmic Diagnosis of Symptoms and Signs, 2003
Genital warts:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
Dark-field examination of scrapings from wart cells shows marked vascularization of epidermal cells, which helps to differentiate genital warts from condylomata lata associated with second-stage syphilis. Applying 5% acetic acid (white vinegar) to the warts turns them white. Warts usually are diagnosed early by visual inspection; biopsy is indicated only when neoplasia is strongly suspected.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
Warts:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
CONFIRMING DIAGNOSIS Visual examination usually confirms the diagnosis. Plantar warts can be differentiated from corns and calluses by certain distinguishing features. Plantar warts obliterate natural lines of the skin, may contain red or black capillary dots that are easily discernible if the surface of the wart is shaved down with a scalpel, and are painful on application of pressure. Both plantar warts and corns have a soft, pulpy core surrounded by a thick callous ring; plantar warts and calluses are flush with the skin surface.
Anal warts require anoscopy or sigmoidoscopy to rule out internal involvement, which may necessitate surgery. Women with vulvar lesions require examination of the vagina and cervix, including a Papanicolaou smear.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
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