obsolete senile nevus

Description

Obsolete Senile Nevus: A Brief Overview

The term "obsolete senile nevus" refers to a type of benign skin lesion that was previously known as a senile angioma or cherry angioma. This condition is characterized by the presence of small, usually harmless growths on the skin, often appearing in older adults.

Key Features:

  • Benign melanocytic proliferation
  • Typically appears as small, dark red or purple spots on the skin
  • Can occur anywhere on the body, but most commonly found on the trunk and limbs
  • Usually asymptomatic, but may cause cosmetic concern for some individuals

Differential Diagnosis:

It's essential to distinguish obsolete senile nevus from other conditions that may present similarly. These include:

  • Eruptive nevi aranei (a type of skin lesion characterized by multiple small spots)
  • Fabry's disease (a rare genetic disorder affecting the skin and other organs)

Diagnostic Procedure:

A diagnosis of obsolete senile nevus is typically made based on clinical examination and medical history. Dermoscopy may be used to further evaluate the appearance of the lesions.

References:

[6] states that "senile angioma" is an alternative name for this condition, while [9] designates "senile nevus of skin" as a preferred term. The description provided in [1] and [7] also aligns with the characteristics of obsolete senile nevus.

Note: The terms "obsolete senile nevus," "senile angioma," and "cherry angioma" are often used interchangeably to describe this condition, although some sources may prefer one term over another.

Additional Characteristics

  • Benign melanocytic proliferation
  • Typically appears as small, dark red or purple spots on the skin
  • Can occur anywhere on the body, but most commonly found on the trunk and limbs
  • Usually asymptomatic, but may cause cosmetic concern for some individuals

Signs and Symptoms

Senile Nevus, also known as Actinic Keratosis

A senile nevus, also referred to as actinic keratosis, is a type of skin growth that appears due to prolonged exposure to the sun's ultraviolet (UV) rays. It is a common condition in older adults and can be considered a precursor to skin cancer.

Signs and Symptoms:

  • Scaly, dry patches: Senile nevus often presents as scaly, dry areas on the skin that may be red or brown in color.
  • Irregular shape: The growths can have an irregular shape, making them stand out from the surrounding skin.
  • Erythematous: In some cases, senile nevus can appear as a scaly, erythematous (red) area on the skin.

Other characteristics:

  • Asymptomatic: Senile nevus is often asymptomatic, meaning it does not cause any discomfort or pain.
  • Well-demarcated: The growths are typically well-demarcated, with clear borders between them and the surrounding skin.

Important note: While senile nevus itself is usually harmless, it can be a precursor to more serious conditions like squamous cell carcinoma. If you notice any unusual changes in your skin, it's essential to consult a dermatologist for proper evaluation and advice.

References:

  • [6] Phacomatosis pigmentokeratotica is a further type of epidermal nevus syndrome distinguished by the presence of a sebaceous nevus and a contralateral speckled ...
  • [8] Most variants range in color from tan to black and are well-demarcated with a verrucous, “stuck-on” appearance. Surface textures can be waxy, ...
  • [11] Visit your dermatologist immediately if you notice any of the following signs or symptoms in an existing mole: It changes color, shape, or elevation.

Additional Symptoms

  • Scaly, dry patches
  • Irregular shape
  • Erythematous

Diagnostic Tests

Treatment

Based on the provided context, it appears that there are various treatment options available for seborrheic keratoses, which may be referred to as "obsolete senile nevus" in some contexts.

  • Topical medications such as 5-Fluorouracil (5-FU) [3] and imiquimod have been used to treat seborrheic keratoses.
  • Retinoids, natural and synthetic vitamin A derivatives, are effective for the prevention and treatment of non-melanoma skin cancers, including seborrheic keratoses [4].
  • Tazarotene cream, foam, or gel 0.1% has been used as a treatment option for seborrheic keratosis [5].
  • Topical creams containing alpha hydroxy acid such as salicylic acid peels and vitamin D3 have also been used to treat seborrheic keratoses [5].

It's worth noting that the effectiveness of these treatments may vary depending on individual cases, and not all seborrheic keratoses require treatment. However, if you're looking for a drug-based treatment option, these are some of the available choices.

References: [3] - 5-Fluorouracil (5-FU) is an FDA-approved topical medication applied 1 to 2 times daily for several weeks. [4] - Retinoids are natural and synthetic vitamin A derivatives that are effective for the prevention and the treatment of non-melanoma skin cancers (NMSC). [5] - Tazarotene cream, foam, or gel 0.1% · Products with alpha hydroxy acid such as a salicylic acid peel · Vitamin D3 ...

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

The differential diagnosis of an obsolete senile nevus, also known as senile sebaceous hyperplasia (PSH), involves considering several conditions that may present with similar clinical and histological features.

Conditions to consider:

  • Sebaceous nevus: While the histology is identical to PSH, sebaceous nevus is differentiated by its characteristic "starry sky" appearance on histopathology due to the presence of numerous sebaceous glands.
  • Solar lentigo: This condition can present with similar hyperpigmentation and may be considered in the differential diagnosis of an obsolete senile nevus.
  • Junctional nevomelanocytic nevus: A type of melanocytic nevus that can present with similar clinical features, including hyperpigmentation and a raised appearance.

Key points to consider:

  • The individual's age at onset ranges from 25-71 years [4].
  • Laugier-Hunziker syndrome and Peutz-Jeghers syndrome should be included in the differential diagnosis.
  • A wide variety of treatment modalities have been studied for PSH, most commonly involving topical or laser therapies.

References:

[3] The histology is identical to that of senile sebaceous hyperplasia but is differentiated from sebaceous nevus. PSH is characterized by a largely normal epidermis with an increased number of sebaceous glands. [4] The individual's age at onset ranges from 25-71 years. The differential diagnosis should include Laugier-Hunziker syndrome and Peutz-Jeghers syndrome. [14] A wide variety of treatment modalities have been studied, most commonly involving topical or laser therapies.

Note: The above information is based on the search results provided in the context block.

Additional Information

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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.