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  2. Treatments for actinic keratoses include: prescription creams and gels. freezing the patches (cryotherapy) – this makes the patches turn into blisters and fall off after a few weeks. surgery to cut out or scrape away the patches – you'll be given a local anaesthetic first, so it does not hurt.

    • What Is An Actinic Keratosis?
    • Who Gets Actinic Keratoses?
    • What Causes Actinic Keratoses?
    • What Are The Clinical Features of Actinic Keratosis?
    • Complications of Actinic Keratoses
    • How Is An Actinic Keratosis Diagnosed?
    • What Is The Treatment For Actinic Keratoses?
    • Prevention of Actinic Keratoses
    • What Is The Outlook For Actinic Keratoses?

    Actinic keratosis is a precancerous scaly spot found on sun-damaged skin, also known as solar keratosis. It may be considered an early form of cutaneous squamous cell carcinoma (a keratinocyte cancer).

    Actinic keratosesaffect people that have often lived in the tropics or subtropics and have predisposing factors such as: 1. Other signs of photoageing skin 2. Fair skin with a history of sunburn 3. History of long hours spent outdoors for work or recreation 4. Defective immune system. However, even in temperate climates they may be common - in sout...

    Actinic keratoses are the result of abnormal skin cell development due to DNAdamage by short wavelength UVB. They are more likely to appear if the immune function is poor, due to ageing, recent sun exposure, predisposing disease, or certain drugs.

    Actinic keratosis may be solitary but there are often multiple keratoses. The appearance varies. 1. A flat or thickened papule, or plaque 2. White or yellow; scaly, warty, or horny surface 3. Skin coloured, red, or pigmented 4. Tender or asymptomatic They are sometimes graded according to their appearance: Grade 1: Mild pink or grey marks with slig...

    The main concern is that actinic keratoses indicate an increased risk of developing cutaneous squamous cell carcinoma. It is rare for a solitary actinic keratosis to evolve to squamous cell carcinoma(SCC), but the risk of SCC occurring at some stage in a patient with more than 10 actinic keratoses is thought to be about 10 to 15%. A tender, thicken...

    Actinic keratosis is usually easy to diagnose clinically or by dermoscopy (see actinic keratosis dermoscopy). Occasionally, a biopsy is necessary, for example, to exclude SCC, or if treatment fails.

    Actinic keratoses are usually removed because they are unsightly or uncomfortable, or because of the risk that skin cancer may develop in them. The latter point is a matter of considerable debate, and the most robust studies (Cochrane review) did not find convincing evidence that AK treatment resulted in a prevention of invasive squamous cell carci...

    Actinic keratoses are prevented by strict sun protection. If already present, actinic keratoses may improve with a very high sun protection factor (50+) broad-spectrum sunscreenapplied at least daily to affected areas, year-round. The number and severity of actinic keratoses can also be reduced by taking nicotinamide(vitamin B3) 500 mg twice daily.

    Actinic keratoses may recur months or years after treatment. The same treatment can be repeated or another method used. Patients who have been treated for actinic keratoses are at risk of developing new keratoses. They are also at increased risk of other skin cancers, especially intraepidermal squamous cell carcinoma, invasive cutaneous squamous ce...

  3. Actinic keratoses are areas of sun-damaged skin. They usually occur on parts of the body that are exposed to the sun. This includes the forearms, back of the hands, face, ears, and any scalp areas without hair (e.g., as a result of balding). They may also occur on the lips.

  4. Dec 17, 2022 · Cryotherapy is the most common treatment. It takes only a few minutes and can be done in your health care provider's office. Side effects may include blisters, scarring, changes to skin texture, infection and changes in skin color of the affected area. Scraping (curettage).

  5. Jan 4, 2024 · An actinic keratosis may be cut or scraped off. This is usually done after numbing the skin with some local anaesthetic. Other treatments which are sometimes used can include laser surgery, chemical peels and dermabrasion (where skin surface is removed by abrasion). Other risks if you have an actinic keratosis

  6. As AK is a precancerous condition patients should understand skin cancer and how to prevent it: covering skin with hats and clothes and using sunscreen. Encourage patients to report change e.g.: growth, discomfort, ulceration, bleeding and new lesions .

  7. Nov 4, 2022 · Treatment consists of destructive methods (e.g., cryotherapy with liquid nitrogen, curettage with or without electrodesiccation, chemical peels, and photodynamic therapy) or topical medication (e.g., topical fluorouracil, imiquimod, diclofenac, or tirbanibulin).

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