Decision Support in Medicine
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Stucco keratosis (keratosis alba)
- Are you confident of the diagnosis?
- Who is at Risk for Developing this Disease?
- What is the Cause of the Disease?
- Systemic Implications and Complications
- Treatment Options
- Optimal Therapeutic Approach for this Disease
- Patient Management
- Unusual Clinical Scenarios to Consider in Patient Management
- What is the Evidence?
- What you should be alert for in the history
- Characteristic findings on physical examination
- Expected results of diagnostic studies
--Medical - imiquimod, keratolytics (6% salicylic acid, 12% ammonium lactate)
--Destructive - electrodessication, cryosurgery
--Surgical excision - curettage
Stucco keratoses are benign skin lesions lacking a malignant potential. Therefore, treatment is not mandatory. Stucco keratoses can be removed by curettage or shave excision. A topical therapy with imiquimod has been reported.
Patient reassurance that these lesions are benign and are of no significance other than cosmetic appearance is essential. Treatment is only necessary should the patient desire it or, in the rare occasion, when lesions become irritated.