Dermatology Question 1

A 62-year-old woman is evaluated for multiple areas of scaling and rough skin on her forehead and cheeks, the backs of her hands, and forearms. These areas are painless but persist despite application of moisturizer. She is in good overall health and takes no medications. She has a history of multiple sunburns.

On physical examination, vital signs are normal. Skin findings are shown.

The remainder of the physical examination is unremarkable.

Which of the following is the most likely diagnosis?

A  Actinic keratosis

B  Seborrheic keratosis

C  Squamous cell carcinoma

D  Superficial basal cell carcinoma

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