He has, on physical examination, many erythematous actinic keratosis still present on the forearm. They are flat, but these are much less than before. He has, in addition, on his buttocks, 2 lichenified areas of erythema bilaterally on the buttocks where he sits.
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PROOFREADING.
1. Review of the sleep questionnaire indicates that the patient had a trend oximetry done 2 years ago and was placed on 9 cm of CPAP. The patient notes that he has not seen much change with the use of it. His father has a history of the same. He still continues to have daytime fatigue and sleepiness and some shortness of breath. There is also a history of seizure disorder diagnosed in the fall of 1997.
Based on the provided information, it seems like the individual has several actinic keratoses on the forearm and two lichenified areas of erythema on the buttocks. Actinic keratoses are rough, scaly patches on the skin that develop due to long-term sun exposure. Lichenified areas of erythema refer to skin that has become thickened, rough, and leathery due to repeated scratching or irritation.
To confirm the diagnosis and understand the severity of these conditions, it is crucial for the individual to consult with a healthcare professional, preferably a dermatologist. A dermatologist will be able to provide a comprehensive examination and recommend appropriate treatment options specific to the individual's condition.
It is important to note that I am an AI language model and cannot provide a definitive diagnosis or medical advice. A healthcare professional should always be consulted for accurate evaluation and guidance regarding any medical condition.