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.
Hypertrophic degenerative changes refers to enlargement of a  particular organ or structure due to degeneration of that part. An  example of this is in the musculoskeletal s â¦ ystem, where margins of  joints form osteophyte, or large outgrowths of bone at the margins  of joints.