Clinical Example: Keratoacanthoma cases

Keratoacanthoma is a fairly dramatic lesion which most often occurs in sun exposed sites (such as the back of the hand) of a light skinned person. Typically, it appears suddenly and grows rapidly, over the course of weeks. Common clinical features include a central eschar or keratin plug and a raised peripheral border.  The usual clinical course is that it grows rapidly, becomes necrotic, and spontaneously regresses over the course of two to four months, leaving a superficial scar.

 
Click on each image for a larger picture

 
This rapidly growing crusting lesion was treated with excision and local flap cover. Path - keratoacanthoma.
Click for larger image
Click for larger image
Click for larger image
This resolved spontaneously.
Click for larger image
This crusting skin lesion migrated from the mid dorsum of the proximal phalanx to the metacarpal head area. It was removed with curettage, and healed. Path - keratoacanthoma.
Click for larger image
Click for larger image
Click for larger image
This keratoacanthoma was treated with curettage.
Click for larger image
Click for larger image
Click for larger image
Immediately before and after. The deep dermis is visible at the base of the wound.
Click for larger image
Late appearance.
Click for larger image

 
Search for...
keratoacanthoma
Case Examples Index Page e-Hand home