Cutaneous horn
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| Cutaneous horn | |
|---|---|
| Synonyms | Cornu cutaneum |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Hard, conical projection on the skin |
| Complications | Squamous cell carcinoma, basal cell carcinoma, melanoma |
| Onset | Varies |
| Duration | Persistent until treated |
| Types | N/A |
| Causes | Actinic keratosis, wart, seborrheic keratosis, keratoacanthoma |
| Risks | Sun exposure, human papillomavirus infection |
| Diagnosis | Physical examination, biopsy |
| Differential diagnosis | Wart, actinic keratosis, seborrheic keratosis, keratoacanthoma |
| Prevention | N/A |
| Treatment | Surgical excision, cryotherapy, curettage |
| Medication | N/A |
| Prognosis | Good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Cutaneous horn is a type of skin lesion that resembles the horn of an animal. It is a conical, dense, and hyperkeratotic protrusion that can vary in size from a few millimeters to several centimeters. Cutaneous horns are most commonly found in areas exposed to sunlight, such as the face, ear, and back of the hands.
Causes
Cutaneous horns are caused by the overgrowth of the top layer of skin, known as the epidermis. This overgrowth can be triggered by a variety of factors, including sun damage, human papillomavirus (HPV), and certain skin conditions such as actinic keratosis and seborrheic keratosis. In rare cases, cutaneous horns can be associated with skin cancer.
Symptoms
The primary symptom of a cutaneous horn is a hard, thickened area of skin that protrudes outward. The horn may be yellow, brown, or gray in color, and its surface may be smooth or rough. Some people may experience pain or discomfort, especially if the horn is located in an area that is frequently touched or rubbed.
Diagnosis
Diagnosis of a cutaneous horn is typically made through a physical examination. In some cases, a biopsy may be performed to rule out underlying conditions such as skin cancer.
Treatment
Treatment for cutaneous horns typically involves removing the horn and the underlying cause. This can be done through various methods, including cryotherapy, surgery, or topical medications. In cases where the horn is associated with skin cancer, additional treatments such as radiation therapy or chemotherapy may be necessary.
Prevention
Prevention of cutaneous horns involves protecting the skin from sun damage. This can be achieved by wearing protective clothing, using sunscreen, and avoiding excessive sun exposure.
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Contributors: Prab R. Tumpati, MD