Clinical Quiz
The Hong Kong Practitioner VOLUME 31 / March 2009
An elderly lady presenting with an asymptomatic patch over her cheek
Po-tak Chan ³¯Ä_¼w

A 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. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by 30 April, 2009. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the June issue.

Clinical history:

A 76-year old lady presented with a cutaneous patch over the left cheek for two years. The lesion was not itchy or painful. There was no contact bleeding and its size remained static in the past two years. The lesion was composed of an atrophic centre, with an arcuate erythematous scaly edge over the lower pole and a slightly pigmented hyperkeratotic edge in the upper pole. Background solar damage was also observed in surrounding skin.
The slide and the question were prepared by:
Dr Po-tak Chan,
MRCP(UK), FHKCP, FHKAM(Med)
Medical Officer,
Social Hygiene Service, PHSB, DH.

What is your diagnosis?

A. Seborrhoeic keratosis
B. Discoid lupus erythematosus
C. Bowen's disease
D. Actinic keratosis

Name :

Tel. No. :

Address :

Date :