As well, she has had recurrent peri-oral dermatitis, which is clear at this point. On examination today, the patient has prominent actinic keratoses on the right shoulder, right back, and dorsal hands. Of note is the face that the lesion on the shoulder is somewhat thickened and enflamed. All lesions were treated with liquid nitrogen today. She will come back to see me in one months' time if the thicker shoulder lesion has not resolved, at which time it can be biopsied.
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