Seborrhoeic keratosis
Meaning of seborrhoeic keratosis: For the purposes of this Statement of Principles, seborrhoeic keratosis: (a) means a benign intra-epidermal skin tumour arising from the proliferation of basaloid keratinocytes with histopathological architecture of a papilloma with a flat base and a hyperkeratotic crown; and (b) includes: (i) basal cell papilloma; (ii) dermatosis papulosa nigra; (iii) pigmented seborrhoeic keratosis; (iv) seborrhoeic wart; (v) stucco keratosis; and (vi) Leser-Trélat sign/disease; and (c) excludes: (i) seborrhoeic dermatitis; (ii) seborrhoeic psoriasis; and (iii) solar keratosis. (3) While seborrhoeic keratosis attracts ICD-10-AM code L82, in applying this Statement of Principles the meaning of seborrhoeic keratosis is that given in subsection (2). (4) For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.
Reasonable Hypothesis (RH) — Statement of Principles No. 19 of 2024
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting seborrhoeic keratosis or death from seborrhoeic keratosis with the circumstances of a person's relevant service:
- (1)having sunlight exposure to unprotected skin at the affected site for at least 2,250 hours while in a tropical area, or having equivalent sunlight exposure in other latitude zones (latitude equivalent hours), before clinical onset;
Note: latitude equivalent hours are defined in the Schedule 1 - Dictionary.
- (2)for the Leser-Trélat sign only (sudden onset of >20 new seborrhoeic keratoses within 6 months), having a malignancy excluding non- melanotic malignant neoplasm of the skin, within 1 year before clinical;
- (3)taking a course of dabrafenib or vemurafenib for the treatment of cancer within 1 year before clinical onset;
- (4)inability to obtain appropriate clinical management for seborrhoeic keratosis before clinical worsening;
Aggravation-only factors: the factors in subsection 9(4) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
Balance of Probabilities (BoP) — Statement of Principles No. 20 of 2024
1 factors
At least one of the following factors must exist before it can be said that, on the balance of probabilities, seborrhoeic keratosis or death from seborrhoeic keratosis is connected with the circumstances of a person's relevant service:
- (1)inability to obtain appropriate clinical management for seborrhoeic keratosis before clinical worsening;
Aggravation-only factors: the factors in subsection 9(1) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
