An elderly woman presented with a hyperkeratotic nodule over the vertex
of scalp for few months
Adrian KC Cheng
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Clinical history:
An 87-year-old woman presented with an enlarging mass over the vertex of her scalp for a few months. Examination showed a 4x4cm hyperkeratotic nodule. A fleshy friable base with contact bleeding was revealed after crust removal.
What is the diagnosis?

| A. | Kerion |
| B. | Squamous cell carcinoma |
| C. | Erosive pustular dermatosis of scalp |
| D. | Viral wart |
The slide and the question was prepared by:
Dr. Adrian KC Cheng, MBBS(HK), MRCP(UK), MSc GEOR (CUHK), FHKCP, FHKAM (Medicine)
Specialist in Dermatology & Venereology;
Associate Consultant,