Difference between revisions of "Basal cell carcinoma"
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===Risk Factors=== | ===Risk Factors=== | ||
*UV radiation | *UV radiation | ||
| − | *Chronic arsenic exposure | + | *Chronic [[arsenic]] exposure |
*Ionizing radiation | *Ionizing radiation | ||
*Immunosuppression | *Immunosuppression | ||
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==Management== | ==Management== | ||
| + | *Not typically managed within ED | ||
==Disposition== | ==Disposition== | ||
| + | *Discharge with derm follow up | ||
==See Also== | ==See Also== | ||
Revision as of 23:59, 30 September 2019
Contents
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
Rash
- Acute generalized exanthematous pustulosis
- Allergic reaction
- Aphthous stomatitis
- Atopic dermatitis
- Chickenpox
- Chikungunya
- Coxsackie
- Dermatitis herpetiformis
- Erysipelas
- Exfoliative erythroderma
- Impetigo
- Measles
- Miliaria (Heat Rash)
- Necrotizing fasciitis
- Pellagra
- Poison Oak, Ivy, Sumac
- Psoriasis
- Pityriasis rosea
- Scabies
- Seborrheic dermatitis
- Serum Sickness
- Smallpox
- Shingles
- 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