We are the most forward deployed clinic of U.S. Naval Hospital Sigonella, Italy. We are responsible for providing care to Naval Support Activity Bahrain, U.S. Naval Forces Central Command, Commander Fifth Fleet, and 91 tenant commands.
Hypertrophic actinic keratosis. A common hypertrophic variant of actinic keratosis is presented. Bland cytologic features are dominant, and the pattern varies markedly from that of other actinic keratoses. Histologic and topographic evidence suggests that the hypertrophic changes are induced by the trauma of chronic rubbing.
Practice Essentials. Hypertrophic cardiomyopathy (HCM) is a genetic disorder that has a variable presentation and carries a high incidence of sudden death. Its hallmark is myocardial hypertrophy that is inappropriate and often asymmetrical and that occurs in the absence of an obvious inciting hypertrophic stimulus.ackground. Hypertrophic cardiomyopathy (HCM) (see the image below) is a genetic disorder that is typically inherited in an autosomal dominant fashion with variable penetrance and variable expressivity.