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.
Definition and Etiology. Hypertrophic cardiomyopathy (HCM) is defined as hypertrophy of the myocardium more than 1.5 cm, without an identifiable cause (Figure 1). Other causes of left ventricular (LV) hypertrophy, such as long-standing hypertension, amyloidosis, and aortic stenosis must first be excluded before HCM can be diagnosed.