Main menu
Common skin conditions
NEWS
Join DermNet PRO
Read more
Quick links
For each of the ten cases, study the image(s) and then answer the questions. You can click on the image to view a larger version if required.
Each case should take approximately 2 minutes to complete. There is a list of suggested further reading material at the end of the quiz.
When you finish the quiz, you can download a certificate.
What is the name for the skin condition?
Viral warts, solar keratoses and invasive squamous cell carcinomas
What medications may be responsible?
Immunosuppressives in an organ transplant patient. Cutaneous squamous cell carcinoma, solar keratoses and viral warts are common complications of immunosuppressive medication. These lesions occur within a few years of organ transplantation. The cancers may be aggressive and ultimately claim the life of the patient.
What management would you recommend?
Whenever a patient is prescribed potentially long term azathioprine, ciclosporin, tacrolimus or similar medications, they should be advised to protect their skin from the sun and to have regular skin examinations. The viral warts are resistant to therapy, and are generally managed with salicylic acid wart paints. The keratoses may be treated by cryotherapy, fluorouracil cream or imiquimod (which does not appear to adversely effect systemic immunosuppression). Invasive skin cancers should be treated surgically. Patients are often prescribed lifelong systemic retinoids, which may reduce the incidence of skin cancers.