Case Report: Full Body Skin Examination in a 45-Year-Old Male
by: Caroline Vaughn
At Village Dermatology in Katy and Houston, Texas, we emphasize the importance of annual full body skin examinations. Regular screenings help detect both benign and potentially concerning skin conditions early, ensuring patients receive the right care at the right time.
Patient Presentation
A 45-year-old male presented for a comprehensive skin examination. The patient undergoes annual skin checks due to multiple long-standing pigmented lesions. While the patient is overall healthy, he expressed concerns regarding brown spots that have been present for years.
Examination Findings
A full body examination was performed using a dermatoscope. The following findings were noted:
Benign Nevi (Moles): Symmetrical, evenly pigmented moles scattered across the skin, consistent with benign nevi. No suspicious features observed.
Scar: A well-healed scar on the left dorsal index finger joint. No evidence of recurrence or concerning changes.
Seborrheic Keratoses (SKs): Benign, wart-like growths located on the back, upper arm, and forehead. Patient was reassured these are common with age and noncancerous.
Lentigines (Sun Spots): Brown sun-induced pigmentation on the shoulders, forehead, and cheeks. These are benign but cosmetically treatable.
Cherry Angiomas: Small, red vascular growths on the upper and mid-back, which are harmless.
Patient Counseling & Recommendations
Sun Protection
Daily use of broad-spectrum sunscreen SPF 30+.
Reapplication every 2 hours when outdoors, and more frequently when sweating or swimming.
Emphasis on sun-protective clothing and use of SPF-containing lip balm.
Skin Monitoring
Perform monthly self-skin checks to track changes in moles.
Contact the office immediately if any mole changes in size, shape, or color, or if it begins to itch, bleed, or burn.
Cosmetic Options
Lentigines (sun spots) may improve with treatments such as bleaching creams, retinoids, chemical peels, or laser therapy.
Cherry angiomas and seborrheic keratoses can be removed if cosmetically bothersome.
Conclusion
This case highlights the importance of routine skin examinations, especially in patients with multiple pigmented lesions or a history of sun exposure. Early identification of benign vs. suspicious lesions provides peace of mind and helps prevent skin cancer.
At Village Dermatology in Katy and Houston, Texas, we encourage all patients to schedule regular skin exams to protect their skin health and address any cosmetic concerns.
