1st April 2022

A 70-year-old man presents to his GP with several scaly lesions on his face

A 70-year-old man presents to his GP with several scaly lesions on his face. They do not trouble him, but his son thought he should have them checked. He thinks that they have slowly appeared over the last year. On examination of his skin, he has extensive facial wrinkles and three red, crusty plaques of sandpaper-like texture: one on his upper lip, one on his nose, and one on his left temple. What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.