Actinic keratosis: Difference between revisions

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{{Infobox medical condition
{{Infobox medical condition
| name            = Actinic keratosis
| name            = Actinic keratosis
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| frequency      = Common in [[older adults]]
| frequency      = Common in [[older adults]]
}}
}}
[[Actinic keratosis]] (AK), also known as solar keratosis, is a rough, scaly patch on your skin that develops from years of exposure to the sun. It's most commonly found on the face, lips, ears, back of your hands, forearms, scalp, and neck.
[[Actinic keratosis]] (AK), also known as solar keratosis, is a rough, scaly patch on your skin that develops from years of exposure to the sun. It's most commonly found on the face, lips, ears, back of your hands, forearms, scalp, and neck.
[[File:Actinic keratosis on the lip.JPEG|thumb|Actinic keratosis on the lip]]
[[File:Actinic keratosis on the lip.JPEG|thumb|Actinic keratosis on the lip|left]]
[[File:Actinic keratosis of the scalp.jpg|thumb|left|Actinic keratosis of the scalp]]
==Causes==
==Causes==
The primary cause of actinic keratosis is prolonged exposure to ultraviolet (UV) radiation, either from sunlight or from tanning beds.
The primary cause of actinic keratosis is prolonged exposure to ultraviolet (UV) radiation, either from sunlight or from tanning beds.


[[File:Histopathology of actinic keratosis with moderate atypia.jpg|thumb|Histopathology of actinic keratosis with moderate atypia]]
[[File:Histopathology of actinic keratosis with moderate atypia.jpg|thumb|left|Histopathology of actinic keratosis with moderate atypia]]
==Symptoms==
==Symptoms==
* Actinic keratoses start as thick, scaly, crusty skin patches. These patches are often less than 1 inch (2.5 centimeters) in diameter. They might be hard to see at first but are usually easier to feel. Other signs and symptoms include:
* Actinic keratoses start as thick, scaly, crusty skin patches. These patches are often less than 1 inch (2.5 centimeters) in diameter. They might be hard to see at first but are usually easier to feel. Other signs and symptoms include:
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* Skin color changes
* Skin color changes
* Itching or burning in the affected area
* Itching or burning in the affected area
[[File:Actinic keratosis of the scalp.jpg|thumb|Actinic keratosis of the scalp]]
 
==Risk Factors==
==Risk Factors==
* Factors that increase your risk of actinic keratosis include:
* Factors that increase your risk of actinic keratosis include:

Latest revision as of 02:47, 4 April 2025

Actinic keratosis
Actinic keratosis on the skin
Synonyms Solar keratosis, senile keratosis
Pronounce
Specialty Dermatology
Symptoms Rough, scaly patch on the skin
Complications Squamous cell carcinoma
Onset
Duration
Types
Causes Ultraviolet light exposure
Risks Fair skin, immunosuppression, age
Diagnosis Clinical diagnosis, biopsy
Differential diagnosis Seborrheic keratosis, basal cell carcinoma, squamous cell carcinoma
Prevention Sun protection, sunscreen
Treatment Cryotherapy, topical chemotherapy, photodynamic therapy
Medication 5-fluorouracil, imiquimod, diclofenac
Prognosis Good with treatment
Frequency Common in older adults
Deaths N/A


Actinic keratosis (AK), also known as solar keratosis, is a rough, scaly patch on your skin that develops from years of exposure to the sun. It's most commonly found on the face, lips, ears, back of your hands, forearms, scalp, and neck.

Actinic keratosis on the lip
Actinic keratosis of the scalp

Causes[edit]

The primary cause of actinic keratosis is prolonged exposure to ultraviolet (UV) radiation, either from sunlight or from tanning beds.

Histopathology of actinic keratosis with moderate atypia

Symptoms[edit]

  • Actinic keratoses start as thick, scaly, crusty skin patches. These patches are often less than 1 inch (2.5 centimeters) in diameter. They might be hard to see at first but are usually easier to feel. Other signs and symptoms include:
  • Rough-textured skin
  • Skin color changes
  • Itching or burning in the affected area

Risk Factors[edit]

  • Factors that increase your risk of actinic keratosis include:
  • Having fair skin, blue or light-colored eyes, and blond or red hair
  • Older age
  • Chronic sun exposure
  • History of sunburns
  • Having a weak immune system

Treatment[edit]

  • Treatment options for actinic keratosis include:
  • Topical medications
  • Cryotherapy (freezing the lesion with liquid nitrogen)
  • Photodynamic therapy (a special light activates a chemical that kills the cells)
  • Curettage (scraping off the lesion)
  • Laser resurfacing

Prevention[edit]

To help protect yourself from developing actinic keratosis, minimize your sun exposure and protect your skin from UV radiation.

See Also[edit]

References[edit]

  • "Actinic keratosis". Mayo Clinic.
  • "Actinic Keratosis". American Academy of Dermatology Association.
  • "Actinic Keratosis". American Cancer Society.
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