Jim H is a 75-year-old male living in Victoria, BC. He is of Irish and British heritage and usually burns after exposure to the sun. He is an avid golfer and enjoys spending lots of time outdoors since his retirement a decade earlier.
Jim has noticed the appearance of several rough spots on a pink background on the backs of his hands. He initially thought it was a flare of his eczema, but he has not previously experienced eczema at this location and using gentle soap and moisturizers on this area was of no help.
Pictures of Jim’s hand:Source
Courtney is a 65-year-old female living in Toronto, ON. She is of Norwegian heritage and usually burns after exposure to the sun. She has spent her career in offices and courtrooms as a corporate lawyer, but enjoys tropical vacations and has experienced sunburns on numerous occasions. She is also taking prednisone (an immunosuppressive medication) for her inflammatory joint disease.
Over the past 6 months, she has noticed an enlarging red scaly plaque on her lower leg. Despite regular moisturization and gentle skin care, this rash has continued to increase in size.
Picture of Courtney’s leg:Source
Caroline is a 58-year-old female living in Hamilton, ON. She has light green eyes and usually burns without proper sun protection. She is an active runner and consistently wears sunscreen. However, she recalls frequent sunburns during her teens and late 20s.
Over the past 9 months, she has noticed a growing red bump on her forehead. The spot has failed to heal despite using polysporin. She also notes that the spot had bled spontaneously on several occasions.
Picture of Caroline’s forehead:Source
Brian is a 70-year-old male living in Ottawa, ON. He has blonde hair and blue eyes and usually burns after exposure to the sun. He spent many years working on his farm. He first noticed a red scaly plaque on his arm about 6 months ago, and he recalls that it has gradually increased in size. The spot has failed to heal despite regular application of polysporin. He notes that it is tender when he presses on it with his hand. He has extensive actinic keratoses covering his face and scalp.
Picture of Brian’s leg:Source