A nursing home resident aged 73 years was referred to the local dermatology department for management of a severe reaction to 5% 5-fluorouracil cream.

This procedure is a simple, quick and cost-effective option which, when used appropriately and correctly, has shown excellent clinical efficacy and favourable cosmetic outcomes.

A woman aged 70 years presented with a longstanding pigmented lesion on her right ear.

A man aged 43 years presented with a persistent, progressively enlarging facial lesion that had persisted for more than 20 years.

A man aged 50 years reported a three-year history of an asymptomatic scalp lesion that had persisted after three episodes of cryotherapy for a presumed diagnosis of solar keratoses.

A man aged 73 years presented for a routine full skin examination and reported a new erythematous lesion, which occasionally bled, on the dorsal shaft of the penis.

A woman aged 30 years presented with a six-month history of an expanding plaque on the right superior shin.

A man aged 85 years presented to his treating doctor for his annual skin examination, which revealed a lesion on the posterior aspect of his right deltoid.

A number of common skin disorders have an altered and challenging appearance when arising on the foot.

A man aged 46 years presented to a multidisciplinary team (plastic surgery, radiation oncology, dermatology) with a year-long history of a lentigo maligna on the right ear lobe.

A male mechanic, aged 67 years, presents with a new-onset facial rash of six months’ duration.

A nursing home resident aged 80 years, when presenting for an influenza vaccination, was noted to have a large fungating lesion with rolled edges on the right side of his chest.

A man aged 60 years presented with an enlarging penile lesion that had been present for six years.

A Caucasian woman aged 49 years presented with a three-day history of a widespread maculopapular erythematous eruption involving the torso, limbs and acral surfaces.

A man aged 52 years with a history of non-melanoma skin cancer presented with a firm, non-tender, skin-coloured papule.

A man aged 60 years presented with an irregularly shaped erythematous scalp plaque with a 5 cm diameter.

A Caucasian female aged 18 years developed a well-defined erythematous vesicular eruption with clear non-purulent exudates on the ear lobules and adjacent inferior neck area.

VMAT does not have a clearly established role in the management of field cancerisation. Suitably powered, controlled, long-term trials are needed before its routine use can be recommended.

In addition to their medical implications, these skin manifestations can be a source of patient distress as a result of symptomatology and cosmesis.

A woman aged 40 years presented to her general practitioner with a changing plaque on her left breast, which was subsequently diagnosed as morphoea with the assistance of teledermatology.