Access Dermatology

History

A 55-year-old white woman presented to our out-patient department with a 4-year history of an asymptomatic eruption on her lower extremities. The number and size of the lesions have been increasing gradually over the last years. Multiple actinic keratoses were diagnosed by her dermatologist, and she had been treated with various topical glucocorticoids, retinoic acid and the frequency-doubled Nd:YAG laser without benefit. Her medical history included arrhythmias and regular use of digoxin, acetylsalicylic acid and diuretics for the last 3 years. There was no history of excessive sun exposure. There was no family history of skin diseases.