Actinic keratosis (Hypertrophic actinic keratosis) with cutaneous horn .M 81, left hand. PPT-1.pngActinic keratosis (Hypertrophic actinic keratosis) with cutaneous horn .M 81, left hand. PPT-2.pngActinic keratosis (Hypertrophic actinic keratosis) with cutaneous horn .M 81, left hand. PPT-3