Clinical Quiz
The Hong Kong Practitioner VOLUME 28 / April 2006

A 50-year old gentleman presenting with growths on his face
Henry H F Ho ¦ó¼yÂ×


A monthly clinical quiz is published in The Hong Kong Practitioner. Readers are invited to participate and a prize draw, sponsored by Pfizer Corporation Hong Kong Limited, will be undertaken among the successful entries each month. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by 19 May, 2006. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the May issue.

Clinical history:

A 50-year old gentleman came to see you for a number of lumps on his face which have been noticed for almost a year. He was worrying about skin malignancies. On physical examination you found four dome-shaped papules on his forehead, diameters ranged from 2-3mm, all yellowish, and one lesion had an umbilicated centre. Features of solar damages were minimal and there were no cervical lymph nodes.
The slide and the question were prepared by:
Dr. Henry H F Ho, MRCP(UK), FHKCP, FHKAM(Med)
Medical Officer,
Social Hygiene Service,
Public Health Service Branch, Department of Health.

The clinical diagnosis is:

A. Basal cell carcinoma
B. Sebaceous hyperplasia
C. Xanthelasma
D. Plane warts

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