Keratoza aktyniczna (solar keratoza)
Charakterystyka, pielęgnacja i opieka

Rogowacenie słoneczne (actinic keratosis, AK) to stan przedrakowy skóry wywołany przewlekłą ekspozycją na promieniowanie ultrafioletowe, manifestujący się jako szorstkie, łuszczące się zmiany o średnicy <1 cm, najczęściej na odsłoniętych partiach ciała (twarz, uszy, skóra głowy, kark, szyja, przedramiona, grzbiety dłoni). Występuje głównie u osób po 40. roku życia o jasnej karnacji. Nieleczone AK mogą ulec transformacji w raka kolczystokomórkowego skóry z ryzykiem około 5-10%. Diagnostyka opiera się na badaniu klinicznym, dermoskopii oraz, w razie podejrzenia transformacji nowotworowej, biopsji. Nowoczesne metody diagnostyczne, takie jak tomografia optyczna (OCT) i mikroskopia konfokalna, umożliwiają nieinwazyjną ocenę zmian. Sygnały alarmowe wskazujące na konieczność pilnej interwencji to szybki wzrost zmiany, bolesność, krwawienie, owrzodzenie oraz pojawienie się twardego guzka.

Co jest Actinic Keratoses?

Rogowacenie słoneczne (actinic keratosis, AK), znane również jako rogowacenie posłoneczne (solar keratosis), to stan przedrakowy skóry, charakteryzujący się występowaniem szorstkich, łuszczących się plam na skórze uszkodzonej przez promieniowanie słoneczne12. Te zmiany skórne powstają w wyniku długotrwałej ekspozycji na promieniowanie ultrafioletowe, zarówno naturalne (słoneczne), jak i sztuczne (np. solaria)3. AK najczęściej występuje na odsłoniętych częściach ciała, takich jak twarz, uszy, skóra głowy (szczególnie u łysiejących osób), kark, szyja, przedramiona czy grzbiety dłoni4.

Zmiany te mogą być różnokolorowe (czerwone, brązowe lub w kolorze skóry), mają szorstką, łuszczącą się powierzchnię i zwykle mają mniej niż 1 cm średnicy5. Actinic keratoses najczęściej pojawiają się u osób po 40. roku życia o jasnej karnacji skóry, które przez lata były narażone na działanie słońca6. Chociaż zmiany te często nie powodują dolegliwości, mogą być swędzące lub bolesne7.

Najważniejszym aspektem rogowacenia słonecznego jest fakt, że nieleczone zmiany mogą przekształcić się w raka kolczystokomórkowego skóry (squamous cell carcinoma). Ryzyko tej transformacji wynosi około 5-10%89. Z tego powodu wczesna diagnostyka i leczenie są kluczowe w zapobieganiu rozwojowi nowotworu skóry10.

Diagnostyka Actinic Keratoses

Diagnoza rogowacenia słonecznego jest zazwyczaj stawiana przez lekarza podczas badania skóry11. Dermatolodzy, jako specjaliści w chorobach skóry, mają duże doświadczenie w rozpoznawaniu tych zmian, ponieważ stanowią one jeden z najczęstszych stanów skórnych, z jakimi się spotykają12.

Podczas badania lekarz ocenia wygląd zmian, ich lokalizację oraz wywiad pacjenta dotyczący ekspozycji na słońce. W niektórych przypadkach, gdy istnieje podejrzenie, że zmiana mogła przekształcić się w nowotwór, może być konieczne wykonanie biopsji13. Biopsja polega na pobraniu małego fragmentu tkanki do badania pod mikroskopem w celu wykluczenia raka skóry14.

Dermoskopia (badanie skóry specjalnym urządzeniem optycznym) może być pomocna w dokładniejszej ocenie zmian i wykryciu cech, które mogą sugerować transformację w kierunku nowotworu15. Nowsze, nieinwazyjne metody diagnostyczne, takie jak tomografia optyczna (OCT) czy mikroskopia konfokalna, mogą również pomagać w ocenie rogowacenia słonecznego bez konieczności wykonywania biopsji16.

Główne sygnały ostrzegawcze, które mogą wskazywać na transformację zmiany w kierunku raka i wymagają pilnej konsultacji lekarskiej, to1718:

  • Szybki wzrost zmiany
  • Bolesność
  • Krwawienie
  • Owrzodzenie
  • Pojawienie się twardego guzka w obrębie zmiany

Leczenie Actinic Keratoses

Leczenie rogowacenia słonecznego jest zazwyczaj zalecane ze względu na ryzyko przekształcenia się zmian w raka kolczystokomórkowego skóry19. Wybór metody leczenia zależy od wielu czynników, w tym liczby zmian, ich lokalizacji, wielkości, preferencji pacjenta oraz stanu jego zdrowia2021.

Metody leczenia dla pojedynczych zmian

W przypadku pojedynczych lub nielicznych zmian najczęściej stosowane są następujące metody2223:

  • Krioterapia (kriochirurgia) – najczęściej stosowana metoda, polegająca na zamrażaniu zmian ciekłym azotem. Powoduje to powstanie pęcherza lub złuszczanie skóry, co prowadzi do usunięcia uszkodzonych komórek. Zabieg jest krótki, może być wykonywany w gabinecie lekarskim, ale może powodować pęcherze, blizny czy zmiany w strukturze lub kolorze skóry2425.
  • Łyżeczkowanie (curettage) – lekarz używa specjalnego narzędzia (łyżeczki) do usunięcia zmienionych chorobowo komórek. Procedura ta często jest łączona z elektrokoagulacją, w której lekarz używa prądu elektrycznego do zniszczenia pozostałych komórek przedrakowych. Zabieg wymaga znieczulenia miejscowego26.
  • Laseroterapia – technika coraz częściej stosowana w leczeniu rogowacenia słonecznego. Lekarz używa lasera ablacyjnego do zniszczenia zmian, co pozwala na pojawienie się nowej skóry27.
  • Terapia fotodynamiczna (PDT) – lekarz nakłada na skórę substancję światłoczułą, a następnie ekspozuje ją na specjalne światło, które niszczy komórki rogowacenia. Ta metoda może powodować zaczerwienienie, obrzęk i uczucie pieczenia podczas leczenia2829.

Metody leczenia dla licznych zmian

W przypadku pacjentów z licznymi zmianami lub z tzw. „polem rakowego wzrostu” (obszar skóry z wieloma zmianami przedrakowymi) zalecane są metody leczenia obejmujące większe obszary skóry3031:

  • Miejscowe preparaty lecznicze – kremy, żele lub maści przepisywane przez lekarza do stosowania w domu. Najczęściej używane to:
    • Fluorouracyl (5-FU) – najczęściej stosowany lek miejscowy, hamuje syntezę DNA i RNA, co prowadzi do zniszczenia komórek rakowych. Dostępny w różnych stężeniach, najczęściej w postaci 5% kremu. Stosowany zwykle dwa razy dziennie przez okres około miesiąca. Podczas leczenia zmiany stają się bardziej zaczerwienione i bolesne3233.
    • Imikwimod – lek stymulujący układ immunologiczny do walki ze zmianami przedrakowymi. Reakcja na lek jest indywidualna – u niektórych pacjentów wywołuje minimalny odczyn zapalny, u innych znaczny34.
    • Diklofenak w postaci 3% żelu – niesteroidowy lek przeciwzapalny, którego mechanizm działania przeciwko AK nie jest do końca poznany. Główną zaletą tego leku jest fakt, że wywołuje niewielkie lub żadne stany zapalne, dzięki czemu jest dobrze tolerowany35.
    • Tirbanibulin – nowszy lek miejscowy stosowany w leczeniu rogowacenia słonecznego36.

Podczas leczenia preparatami miejscowymi typową reakcją jest nasilenie stanu zapalnego w miejscu aplikacji – zaczerwienienie, łuszczenie, nawet owrzodzenie. Jest to normalna odpowiedź skóry na leczenie i sygnał, że lek działa prawidłowo37. Ważne jest, aby podczas leczenia nie stosować kortykosteroidów (np. hydrokortyzonu) w celu łagodzenia stanu zapalnego, ponieważ może to zmniejszyć skuteczność leczenia AK38.

Opieka nad pacjentem z Actinic Keratoses

Pielęgnacja skóry po leczeniu

Właściwa pielęgnacja skóry po leczeniu rogowacenia słonecznego jest kluczowa dla prawidłowego gojenia i zmniejszenia dyskomfortu3940:

  • Okolice leczonej skóry należy przemywać czystą wodą dwa razy dziennie.
  • Nie należy stosować nadtlenku wodoru ani alkoholu, ponieważ mogą one spowalniać proces gojenia.
  • Można nakładać cienką warstwę wazeliny na leczone miejsce i przykryć je nieprzylepnym opatrunkiem. W miarę potrzeby należy uzupełniać warstwę wazeliny i zmieniać opatrunek.
  • Należy unikać stosowania maści z antybiotykiem, chyba że zaleci to lekarz.

Po niektórych procedurach, takich jak krioterapia czy łyżeczkowanie, leczona skóra może być zaczerwieniona, obrzęknięta lub mogą pojawić się na niej pęcherze. Jest to normalne i powinno ustąpić w ciągu kilku dni do tygodni41.

Monitorowanie i kontrola

Pacjenci, u których występuje rogowacenie słoneczne, powinni pozostawać pod stałą opieką dermatologiczną4243:

  • Regularne wizyty kontrolne są niezbędne, aby monitorować stan skóry i wykrywać ewentualne nowe zmiany.
  • Częstotliwość wizyt kontrolnych powinna być ustalona indywidualnie – niektórzy pacjenci potrzebują kontroli raz lub dwa razy w roku, podczas gdy osoby z osłabionym układem immunologicznym mogą wymagać wizyt co 8-12 tygodni.
  • Osoby, które miały rogowacenie słoneczne, są bardziej narażone na rozwój nowych zmian tego typu, a także innych nowotworów skóry, w tym raka kolczystokomórkowego, raka podstawnokomórkowego i czerniaka.

Samobadanie skóry jest również istotnym elementem monitorowania4445:

  • Pacjenci powinni regularnie (co kilka miesięcy) sprawdzać stan swojej skóry, zwracając uwagę na wszelkie nowe zmiany lub modyfikacje istniejących zmian skórnych.
  • Należy zwracać szczególną uwagę na zmiany, które rosną, zmieniają kolor, kształt, krwawią lub stają się bolesne.
  • W przypadku zauważenia niepokojących zmian należy jak najszybciej skonsultować się z lekarzem.

Zapobieganie nawrotom

Aby zapobiec nawrotom rogowacenia słonecznego i zmniejszyć ryzyko rozwoju raka skóry, konieczne jest stosowanie kompleksowej ochrony przeciwsłonecznej464748:

  • Należy ograniczyć ekspozycję na słońce, szczególnie w godzinach 10:00-15:00, kiedy promieniowanie UV jest najsilniejsze.
  • Codziennie stosować krem z filtrem przeciwsłonecznym o szerokim spektrum działania (UVA/UVB) i faktorem SPF co najmniej 30, nawet w pochmurne dni. Krem należy nakładać na wszystkie odsłonięte części ciała około 15-30 minut przed wyjściem na zewnątrz i powtarzać aplikację co 2 godziny oraz po pływaniu lub intensywnym poceniu się.
  • Nosić odzież ochronną: kapelusze z szerokim rondem, długie rękawy, długie spodnie oraz okulary przeciwsłoneczne z filtrem UV.
  • Unikać korzystania z solariów i lamp opalających, które mogą być równie szkodliwe jak naturalne promieniowanie słoneczne.

Regularne stosowanie kremu z wysokim filtrem przeciwsłonecznym nie tylko zapobiega powstawaniu nowych zmian, ale może również pomóc w ustąpieniu istniejących, drobnych zmian typu rogowacenia słonecznego49.

Rola pielęgniarki w opiece nad pacjentem z Actinic Keratoses

Pielęgniarki odgrywają kluczową rolę w kompleksowej opiece nad pacjentami z rogowaceniem słonecznym50:

  • Edukacja pacjenta – przekazywanie wiedzy na temat choroby, jej przyczyn, możliwych powikłań oraz dostępnych metod leczenia. Pielęgniarki powinny także informować pacjentów o znaczeniu samobadania skóry i regularnych kontroli dermatologicznych.
  • Instruktaż dotyczący stosowania leków miejscowych – dokładne wytłumaczenie pacjentowi, jak prawidłowo aplikować przepisane maści, kremy czy żele, jak długo powinno trwać leczenie i jakich reakcji skórnych można się spodziewać podczas terapii.
  • Opieka po zabiegach – pomoc w pielęgnacji skóry po procedurach takich jak krioterapia, łyżeczkowanie czy terapia fotodynamiczna. Obejmuje to instrukcje dotyczące czyszczenia rany, stosowania opatrunków i monitorowania procesu gojenia.
  • Promocja zdrowia – uświadamianie pacjentom znaczenia ochrony przeciwsłonecznej i promowanie zdrowych nawyków związanych z ekspozycją na słońce. Pielęgniarki powinny podkreślać, że prawidłowa ochrona przeciwsłoneczna jest kluczowa nie tylko w zapobieganiu nowym zmianom, ale także w ogólnej profilaktyce nowotworów skóry.
  • Wsparcie psychologiczne – choroba skóry, szczególnie taka, która wiąże się z ryzykiem rozwoju nowotworu, może powodować stres i niepokój u pacjentów. Pielęgniarki powinny oferować wsparcie emocjonalne i pomagać pacjentom radzić sobie z lękiem związanym z diagnozą.

Dzięki kompleksowemu podejściu do opieki nad pacjentem z rogowaceniem słonecznym, pielęgniarki mogą znacząco przyczyniać się do poprawy wyników leczenia, zapobiegania nawrotom choroby oraz wczesnego wykrywania potencjalnych komplikacji51.

Podsumowanie

Rogowacenie słoneczne (actinic keratosis) jest powszechnym stanem przedrakowym skóry, który wymaga profesjonalnej oceny i często leczenia ze względu na ryzyko transformacji w raka kolczystokomórkowego52. Wczesna diagnoza i odpowiednie leczenie są kluczowe w zapobieganiu rozwojowi nowotworu skóry.

Dostępnych jest wiele skutecznych metod leczenia, od procedur zabiegowych wykonywanych w gabinecie lekarskim (krioterapia, łyżeczkowanie, terapia fotodynamiczna) po preparaty do stosowania miejscowego (fluorouracyl, imikwimod, diklofenak). Wybór metody leczenia powinien być indywidualnie dostosowany do potrzeb każdego pacjenta53.

Opieka pielęgniarska nad pacjentem z rogowaceniem słonecznym obejmuje edukację, instruktaż dotyczący stosowania leków, pomoc w pielęgnacji skóry po zabiegach oraz promowanie ochrony przeciwsłonecznej. Pielęgniarki odgrywają również ważną rolę we wspieraniu pacjentów emocjonalnie i zachęcaniu ich do regularnych badań skóry.

Najważniejszym aspektem profilaktyki rogowacenia słonecznego i zapobiegania nawrotom jest kompleksowa ochrona przeciwsłoneczna, w tym stosowanie kremów z filtrem, noszenie odzieży ochronnej i unikanie ekspozycji na słońce w godzinach największego nasłonecznienia. Pacjenci, którzy przebyli rogowacenie słoneczne, wymagają regularnych kontroli dermatologicznych przez całe życie ze względu na zwiększone ryzyko rozwoju nowych zmian przedrakowych i nowotworów skóry54.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Actinic keratoses (Solar keratosis): Diagnosis and Treatment — DermNet
    https://dermnetnz.org/topics/actinic-keratosis
    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 keratoses are usually removed because they are unsightly or uncomfortable, or because of the risk that skin cancer may develop in them. […] Tender, thickened, ulcerated, or enlarging actinic keratoses should be treated aggressively. Asymptomatic flat keratoses may not require active treatment but should be kept under observation. […] 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 sunscreen applied at least daily to affected areas, year-round. […] 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 cell carcinoma, basal cell carcinoma and melanoma.
  • #2 Actinic keratosis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/actinic-keratosis/symptoms-causes/syc-20354969
    An actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on the skin that develops from years of sun exposure. It’s often found on the face, lips, ears, forearms, scalp, neck or back of the hands. […] Actinic keratoses are scaly spots or patches on the top layer of skin. With time they may become hard with a wartlike surface. […] Also known as a solar keratosis, an actinic keratosis grows slowly and usually first appears in people over 40. You can reduce your risk of this skin condition by minimizing your sun exposure and protecting your skin from ultraviolet (UV) rays. […] Left untreated, the risk of actinic keratoses turning into a type of skin cancer called squamous cell carcinoma is about 5% to 10%. […] An actinic keratosis is caused by frequent or intense exposure to ultraviolet (UV) rays from the sun or tanning beds.
  • #3 Actinic Keratosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK557401/
    Actinic keratoses are premalignant cutaneous lesions that may progress to squamous cell carcinoma. Diagnosing actinic keratosis promptly and providing appropriate treatment to mitigate the risk of malignant transformation is crucial. Additionally, implementing preventive strategies is essential to minimize the occurrence of actinic keratosis. This activity aims to discuss the evaluation and treatment of actinic keratosis, emphasizing the role of the interprofessional team in managing patients with this condition. […] Actinic keratoses, also known as senile keratoses or solar keratoses, are benign intra-epithelial neoplasms commonly evaluated by dermatologists. […] Actinic keratosis can present in various forms, such as scaly, erythematous macules, papules, plaques, or cutaneous horns. […] Actinic keratoses are a cutaneous manifestation of repeated sun exposure. Patients diagnosed with actinic keratosis should undergo regular skin cancer screening. Patients should be educated about photoprotection strategies and self-skin cancer surveillance.
  • #4
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8051
    Actinic keratosis is a skin growth caused by sun damage. It can turn into skin cancer, but this isn’t common. Actinic keratoses, also called solar keratoses, are small red, brown, or skin-coloured scaly patches. They are most common on the scalp, face, neck, hands, and forearms. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] If your doctor told you how to care for the treated area, follow your doctor’s instructions. If you did not get instructions, follow this general advice: Wash around the area with clean water 2 times a day. Don’t use hydrogen peroxide or alcohol. They can slow healing. You may cover the area with a thin layer of petroleum jelly, such as Vaseline, and a non-stick bandage. Apply more petroleum jelly, and replace the bandage as needed. Avoid using an antibiotic ointment unless your doctor recommends it.
  • #5 Actinic Keratoses
    https://texomaassocderm.com/services/actinic-keratoses/
    Actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on the skin that develops from years of sun exposure. It’s often found on the face, lips, ears, forearms, scalp, neck, or back of the hands. […] Also known as a solar keratosis, an actinic keratosis grows slowly and usually first appears in people over 40. […] You can reduce your risk of this skin condition by minimizing your sun exposure and protecting your skin from ultraviolet (UV) rays. […] Left untreated, the risk of actinic keratoses turning into a type of skin cancer called squamous cell carcinoma is about 5% to 10%. […] Actinic keratoses vary in appearance. Signs and symptoms include: Rough, dry or scaly patch of skin, usually less than 1 inch (2.5 centimeters) in diameter; Flat to slightly raised patch or bump on the top layer of skin; In some cases, a hard, wartlike surface; Color variations, including pink, red or brown; Itching, burning, bleeding or crusting; New patches or bumps on sun-exposed areas of the head, neck, hands, and forearms.
  • #6 Actinic Keratoses
    https://www.northshorederm.com/actinic-keratoses
    Actinic Keratosis (AK) is a scaly spot found on sun-damaged skin. Also known as solar keratosis, it is a precancerous or an early form of Cutaneous Squamous Cell Carcinoma. […] Many patients who get Actinic Keratosis have fair skin. Most people see their first Actinic Keratoses after 40 years of age because Actinic Keratoses tend to develop after years of sun exposure. Actinic Keratoses usually form on the parts of the body that get a lot of sun exposure, such as the head, neck, hands, and forearms. Because it can progress to a type of skin cancer called Squamous Cell Carcinoma (SCC), treatment is important. […] Anyone who has many Actinic Keratosis should be under a dermatologist’s care. Most people who have many Actinic Keratoses continue to get new Actinic Keratoses for life. […] Left untreated, Actinic Keratosis may turn into a type of skin cancer called squamous cell carcinoma. Untreated lesions have up to a 20% risk of progression to squamous cell carcinoma.
  • #7 Precancers (actinic keratoses) — ARCHER DERMATOLOGY
    https://www.archerdermatology.com/precancers-actinic-keratoses
    Actinic keratoses are areas of sun-damaged skin found predominantly on sun-exposed parts of the body, particularly the forearms, backs of the hands, face, ears, bald scalp and the lower legs. […] They often do not cause any trouble, but can be itchy or sore. There is a very small risk that an actinic keratosis can progress into a form of skin cancer, called a squamous cell carcinoma. […] If an actinic keratosis develops into a lump, grows very quickly, becomes tender, forms an ulcer or starts to bleed, then medical advice should be sought as these changes could indicate the early onset of skin cancer (squamous cell carcinoma). […] An individual actinic keratosis can be cured, but many return in future years. […] Some actinic keratoses will resolve without treatment, especially if they are smaller and milder. Others will need treatment, and the choice of correct treatment can be discussed with your doctor.
  • #8 Actinic keratosis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/actinic-keratosis/symptoms-causes/syc-20354969
    An actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on the skin that develops from years of sun exposure. It’s often found on the face, lips, ears, forearms, scalp, neck or back of the hands. […] Actinic keratoses are scaly spots or patches on the top layer of skin. With time they may become hard with a wartlike surface. […] Also known as a solar keratosis, an actinic keratosis grows slowly and usually first appears in people over 40. You can reduce your risk of this skin condition by minimizing your sun exposure and protecting your skin from ultraviolet (UV) rays. […] Left untreated, the risk of actinic keratoses turning into a type of skin cancer called squamous cell carcinoma is about 5% to 10%. […] An actinic keratosis is caused by frequent or intense exposure to ultraviolet (UV) rays from the sun or tanning beds.
  • #9 Actinic keratosis | Altru Health System
    https://www.altru.org/health-library/conditions/actinic-keratosis
    An actinic keratosis is a rough, scaly patch of skin. […] An actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on the skin that develops from years of sun exposure. […] Also known as a solar keratosis, an actinic keratosis grows slowly and usually first appears in people over 40. […] You can reduce your risk of this skin condition by minimizing your sun exposure and protecting your skin from ultraviolet (UV) rays. […] Left untreated, the risk of actinic keratoses turning into a type of skin cancer called squamous cell carcinoma is about 5% to 10%. […] If treated early, actinic keratosis can be cleared up or removed. […] If left untreated, some of these spots might progress to squamous cell carcinoma. […] Sun safety helps prevent actinic keratoses. […] An actinic keratosis sometimes disappears on its own but might return after more sun exposure.
  • #10 Actinic Keratosis: Risk Factors, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/14148-actinic-keratosis
    Actinic keratosis (AK) causes rough, scaly skin patches. Left untreated, AK can lead to a skin cancer called squamous cell carcinoma. The best way to prevent AK is to protect yourself from sun damage. If you notice new red or rough bumps on your skin, call your healthcare provider for diagnosis and treatment. […] Actinic keratosis (AK) is a skin disorder that causes rough, scaly patches of skin. Another name for AK is solar keratosis. AK is a type of precancer, which means that if you dont treat the condition, it could turn into cancer. Without treatment, AK can lead to a type of skin cancer called squamous cell carcinoma. […] Treatment options depend on how many actinic keratoses (AKs) you have and what they look like. Your healthcare provider may recommend removing the skin patches during an office visit.
  • #11 Actinic keratosis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/actinic-keratosis/diagnosis-treatment/drc-20354975
    Your health care provider will likely be able to determine whether you have an actinic keratosis simply by looking at your skin. […] Even after treatment for actinic keratosis, your health care provider might suggest that you have your skin checked at least once a year for signs of skin cancer. […] An actinic keratosis sometimes disappears on its own but might return after more sun exposure. It’s hard to tell which actinic keratoses will develop into skin cancer, so they’re usually removed as a precaution. […] If you have several actinic keratoses, your health care provider might prescribe a medicated cream or gel to remove them, such as fluorouracil (Carac, Efudex others), imiquimod (Aldara, Zyclara) or diclofenac. […] Many methods are used to remove actinic keratosis, including: […] Actinic keratoses can be removed by freezing them with liquid nitrogen.
  • #12 Actinic keratosis: Diagnosis and treatment
    https://www.aad.org/public/diseases/skin-cancer/actinic-keratosis-treatment
    If you find a spot or growth on your skin that you think could be an actinic keratosis (AK), its time for a thorough skin exam. Should you have an AK, an accurate diagnosis and treatment can: […] Most people who have AKs (or think they may have an AK) see a dermatologist. This is actually one of the most common conditions that dermatologists diagnose and treat, so these doctors have a lot of experience with AKs. […] If you have one or more AKs, your dermatologist will talk with you about whether to treat these precancerous skin growths. Usually, treatment is recommended. […] The treatment that is right for you depends on several considerations, including: […] If you have one or a few AKs, a procedure that your dermatologist can perform during an appointment may be the preferred treatment. At-home treatment is often recommended for patients who have several AKs.
  • #13 Actinic keratosis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000827.htm
    Actinic keratosis is a small, rough, raised area on your skin. Often this area has been exposed to the sun over a long period of time. […] Some actinic keratoses may develop into a type of skin cancer. […] Your health care provider will look at your skin to diagnose this condition. A skin biopsy may be done to see if it is cancer. […] Some actinic keratoses become squamous cell skin cancer. Have your provider look at all skin growths as soon as you find them. Your provider will tell you how to treat them. […] Contact your provider if you see or feel a rough or scaly spot on your skin, or if you notice any other skin changes. […] The best way to lower your risk for actinic keratosis and skin cancer is to learn how to protect your skin from sun and ultraviolet (UV) light. […] Solar keratosis; Sun-induced skin changes – keratosis; Keratosis – actinic (solar); Skin lesion – actinic keratosis.
  • #14 Actinic Keratoses | Pure Dermatology | Metairie, LA
    https://puredermnola.com/actinic-keratoses/
    Actinic keratoses (AKs) are precancerous skin growths. They are sometimes referred to as solar keratoses because sun (solar) exposure is a major risk factor for developing them. Patients often incorrectly self-diagnose them as dry skin that “comes and goes.” AKs appear as a rough, red, scaly patch, bump, or horn on the skin. AKs are commonly found on body areas that are exposed frequently to sun (face, scalp, ears, nose, neck, arms, back of hands, lower legs). AKs are often felt before they are able to be seen. These spots may not have visible symptoms, but often have a burning, sensitive, or painful sensation when touched. Approximately 10% of AKs develop into squamous cell carcinoma (SCC), the second most common form of skin cancer. […] Actinic keratosis is directly related to one’s lifetime exposure to the sun or UV radiation. Men are more likely to develop AKs. Actinic keratosis usually present in ages 50 and beyond, but it is not unusual for someone in their 20s or 30s to develop AKs if they have a history of heavy cumulative sun or UV exposure or multiple intermittent sunburns.
  • #15 Actinic Keratosis (AK) > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/actinic-keratosis
    A scaly and rough patch of skin caused by years of sun damage. Treatments include freezing therapy and various topical creams and gels as well as light therapy. Actinic keratosis is an abnormal growth of cells caused by long-term damage from the sun, he says. Because we dont know which ones will become cancer and which will not, dermatologists recommend treatment of these lesions, Dr. Christensen says. Actinic keratoses are often referred to in the plural form because people rarely develop just one. The small bumps typically appear on the parts of the body that are most exposed to the sun’s rays such as the ears, nose, cheeks, temples and bald scalp. They can also appear on the forearms and backs of hands and usually look like rough bumps or patches on the skin. Patients will often notice a rough spot that isn’t going away and ask their dermatologist to take a look at it. Most of the time, the doctor can make a visual diagnosis, and in the cases that are less obvious, will do a biopsy. There are several ways to treat AK, including: Topical destruction: AK primarily affects the top layer of the skin, so when the patient has only one or a few isolated growths, the dermatologist will usually destroy that area of the skin. The most common way to do this freezing therapy with liquid nitrogen, which is either sprayed on the growth or applied with a cotton applicator. This causes a kind of localized frostbite, and the spot will sting for a few minutes. Within a day or two, the spot will develop a crust or small blister, which will fall off and heal within four to six weeks.
  • #16 Digitally Enhanced Methods for the Diagnosis and Monitoring of Treatment Responses in Actinic Keratoses: A New Avenue in Personalized Skin Care
    https://www.mdpi.com/2072-6694/16/3/484
    Actinic keratosis (AK), also known as solar keratosis, is a keratinocyte-derived precancerous lesion frequently found in adults, that typically develops on parts of the skin exposed to the sun. […] The need for early diagnosis and treatment of AK is more and more important as a consequence of continuously increasing economic impact as the global population ages and accumulates lifetime sun exposure. […] Dermoscopy, High Frequency Ultrasonography (HFUS), Dermoscopy-Guided High-Frequency Ultrasound (DG-HFUS), Optical Coherence Tomography (OCT), and Reflectance Confocal Microscopy (RCM) are the most frequently used non-invasive techniques for the evaluation, treatment, and monitoring of precancerous and cancerous lesions, and each of them will be discussed in the article. […] The goal is to prevent or remove lesions in accordance with the “field cancerization” concept, which posits that UV-damaged areas are prone to develop multiple AKs or lesions with a higher risk of progressing to SCC.
  • #17 Actinic (solar) keratosis
    https://www.pcds.org.uk/patient-info-leaflets/actinic-solar-keratosis
    Actinic keratoses is a long-term condition – over time, it is likely that more will appear. […] Untreated, the number of lesions may increase, thereby increasing your risk of skin cancer. […] If you develop a firm lump, particularly if it continues to grow for a period of 4 or more weeks, is painful or starts to bleed, then medical advice should be sought at the first possible opportunity as these changes could indicate a skin cancer (squamous cell carcinoma).
  • #18
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8051
    To help prevent getting another actinic keratosis: Always wear sunscreen on exposed skin. Make sure to use a broad-spectrum sunscreen that has a sun protection factor (SPF) of 30 or higher. Use it every day, even when it is cloudy. Wear long sleeves, a hat, and pants if you are going to be outdoors for a long time. Avoid the sun between 11 a.m. and 3 p.m., the peak time for UV rays. Do not use tanning booths or sunlamps. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have symptoms of infection, such as: Increased pain, swelling, warmth, or redness. Red streaks leading from the area. Pus draining from the area. A fever. You see a change in your skin, such as a spot, growth, or mole that: Grows bigger. This may happen slowly. Changes colour. Changes shape. Starts to bleed easily. You have a wound that does not heal.
  • #19 Treatment Options for Actinic Keratoses | AAFP
    https://www.aafp.org/pubs/afp/issues/2007/0901/p667.html
    Actinic keratoses are rough, scaly lesions that commonly occur on sun-exposed areas of the skin. […] The decision to treat can be based on cosmetic reasons; symptom relief; or, most importantly, the prevention of malignancy and metastasis. […] Treatment options include ablative (destructive) therapies such as cryosurgery, curettage with electrosurgery, and photodynamic therapy. […] Topical therapies are used in patients with multiple lesions. […] Actinic keratoses should be treated because of their potential to progress to squamous cell carcinomas. […] Cryosurgery is an effective modality for treating solitary or multiple actinic keratoses. […] Curettage is an effective treatment for patients with a limited number of actinic keratoses, particularly thick, hyperkeratotic lesions.
  • #20 Actinic keratosis: Diagnosis and treatment
    https://www.aad.org/public/diseases/skin-cancer/actinic-keratosis-treatment
    If you find a spot or growth on your skin that you think could be an actinic keratosis (AK), its time for a thorough skin exam. Should you have an AK, an accurate diagnosis and treatment can: […] Most people who have AKs (or think they may have an AK) see a dermatologist. This is actually one of the most common conditions that dermatologists diagnose and treat, so these doctors have a lot of experience with AKs. […] If you have one or more AKs, your dermatologist will talk with you about whether to treat these precancerous skin growths. Usually, treatment is recommended. […] The treatment that is right for you depends on several considerations, including: […] If you have one or a few AKs, a procedure that your dermatologist can perform during an appointment may be the preferred treatment. At-home treatment is often recommended for patients who have several AKs.
  • #21 Treating Actinic Keratosis | Treating Bowen Disease | American Cancer Society
    https://www.cancer.org/cancer/types/basal-and-squamous-cell-skin-cancer/treating/actinic-keratosis.html
    Actinic keratosis (AK) is usually considered to be a pre-cancer, while Bowen disease is a very early form of squamous cell skin cancer. […] Actinic keratosis (AK) is often treated because it might turn into squamous cell skin cancer. But because this risk is low, treatments are generally aimed at avoiding scars or other disfiguring marks as much as possible. […] Treatment options for actinic keratosis depend on several factors, including the number and location of the tumors, a persons preferences, and which treatments are available to them. […] If there is only one tumor (or just a few tumors), the most common treatment options include cryotherapy (cryosurgery) or minor surgery such as curettage and electrodesiccation or shave excision. Other local treatments such as photodynamic therapy (PDT) or laser surgery might be options as well.
  • #22 Actinic (solar) keratosis
    https://www.pcds.org.uk/patient-info-leaflets/actinic-solar-keratosis
    Actinic keratoses are areas of sun-damaged skin found predominantly on sun-exposed parts of the body, particularly the forearms, backs of the hands, face, ears, bald scalp and the lower legs. […] Most are generally harmless. There is a very small risk that an actinic keratosis could progress into a form of skin cancer called squamous cell carcinoma. […] It is best practice for a health professional to do a full skin examination to look for early signs of skin cancer elsewhere on your body. […] Most treatments will be provided by healthcare professionals at your GP surgery, although some patients may need to be referred to a doctor specialised in treating actinic keratoses such as a GPwER/GPwSI (a GP who has received additional training in relevant areas of dermatology) or a dermatologist.
  • #23 Actinic Keratoses Long Beach | Heller Dermatology and Aesthetic Surgery
    https://www.hellerderm.com/medical-services/actinic-keratoses/
    Actinic Keratoses (also known as, solar keratoses) are considered precancerous skin lesions. They are rough, scaling spots that develops from years of sun exposure. Some actinic keratoses can eventually turn into a type of skin cancer known as squamous cell carcinoma. Therefore, it is very important that a dermatologist perform routine skin exams to evaluate and treat these skin lesions early, before they become skin cancers. […] Self-Care Guidelines for Actinic Keratoses: Prevention is key! Sun protection can reduce the number of new lesions. Use sunscreen on all exposed skin before going outdoors. Be sure the sunscreen has broad spectrum coverage which blocks both UVA and UVB light, with an SPF of at least 30 or more. Remember to reapply every 2 hours and immediately after swimming or sweating. Avoid sun exposure during peak hours (from 10 am to 3 pm). Cover up. Wear a broad-brimmed hat and tightly-woven clothing that protects your arms and legs. Avoid tanning bed use. Perform self-skin exams monthly. Monitor your skin lesions for any changes in size, shape, color, and/or skin symptoms (such as, itching, bleeding, or pain).
  • #24 Actinic Keratoses
    https://texomaassocderm.com/services/actinic-keratoses/
    Common Treatments? Freezing (cryotherapy). Actinic keratoses can be removed by freezing them with liquid nitrogen. Your doctor applies the substance to the affected skin, which causes blistering or peeling. As your skin heals, the damaged cells slough off, allowing new skin to appear. Cryotherapy is the most common treatment. It takes only a few minutes and can be done in your doctor’s office. Side effects may include blisters, scarring, changes to skin texture, infection, and changes in skin color of the affected area. […] Scraping (curettage). In this procedure, your doctor uses a device called a curet to scrape off damaged cells. Scraping may be followed by electrosurgery, in which the doctor uses a pencil-shaped instrument to cut and destroy the affected tissue with an electric current. This procedure requires local anesthesia. Side effects may include infection, scarring, and changes in skin color of the affected area.
  • #25 Actinic Keratosis Treatment & Management: Approach Considerations, Medical Care, Surgical Care
    https://emedicine.medscape.com/article/1099775-treatment
    Topical diclofenac sodium 3% gel is a nonsteroidal anti-inflammatory drug approved by the FDA for the treatment of actinic keratosis. […] Its mechanism of action against actinic keratoses is unknown. […] The chief advantage of diclofenac is that it produces little to no inflammation and thus is very well tolerated. […] The goal of surgical therapy is complete eradication of actinic keratoses, usually by physical destruction, with limited to no damage to surrounding healthy tissue. […] Cryosurgery refers to use of a cryogen to lower the temperature of the skin and produce cell death. […] The development of these lesions is directly proportional to sun exposure. […] Actinic keratoses can be reduced or delayed by using sunscreens and reducing sun exposure. […] If the lesions do not respond to topical therapy, they can be treated with cryotherapy with liquid nitrogen spray for 5-20 seconds. […] Lesions become irritated and ulcerate, and eventually are sloughed from healthy skin.
  • #26 Actinic Keratoses
    https://texomaassocderm.com/services/actinic-keratoses/
    Common Treatments? Freezing (cryotherapy). Actinic keratoses can be removed by freezing them with liquid nitrogen. Your doctor applies the substance to the affected skin, which causes blistering or peeling. As your skin heals, the damaged cells slough off, allowing new skin to appear. Cryotherapy is the most common treatment. It takes only a few minutes and can be done in your doctor’s office. Side effects may include blisters, scarring, changes to skin texture, infection, and changes in skin color of the affected area. […] Scraping (curettage). In this procedure, your doctor uses a device called a curet to scrape off damaged cells. Scraping may be followed by electrosurgery, in which the doctor uses a pencil-shaped instrument to cut and destroy the affected tissue with an electric current. This procedure requires local anesthesia. Side effects may include infection, scarring, and changes in skin color of the affected area.
  • #27 Actinic Keratoses
    https://texomaassocderm.com/services/actinic-keratoses/
    Laser therapy. This technique is increasingly used to treat actinic keratosis. Your doctor uses an ablative laser device to destroy the patch, allowing new skin to appear. Side effects may include scarring and discoloration of the affected skin. […] Photodynamic therapy. Your doctor might apply a light-sensitive chemical solution to the affected skin and then expose it to a special light that will destroy the actinic keratosis. Side effects may include redness, swelling, and a burning sensation during therapy. […] Our practice has skilled dermatologic experts who have the experience and knowledge to provide effective solutions for your particular needs and goals. Our focus on you as a person is what makes us different from others, and we’ll be with you each step of the way with empathy, advice, and support. Healthy skin is our passion. Contact us today if you have actinic keratosis so that we can help you.
  • #28 Actinic Keratoses
    https://texomaassocderm.com/services/actinic-keratoses/
    Laser therapy. This technique is increasingly used to treat actinic keratosis. Your doctor uses an ablative laser device to destroy the patch, allowing new skin to appear. Side effects may include scarring and discoloration of the affected skin. […] Photodynamic therapy. Your doctor might apply a light-sensitive chemical solution to the affected skin and then expose it to a special light that will destroy the actinic keratosis. Side effects may include redness, swelling, and a burning sensation during therapy. […] Our practice has skilled dermatologic experts who have the experience and knowledge to provide effective solutions for your particular needs and goals. Our focus on you as a person is what makes us different from others, and we’ll be with you each step of the way with empathy, advice, and support. Healthy skin is our passion. Contact us today if you have actinic keratosis so that we can help you.
  • #29 Actinic Keratosis (AK) > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/actinic-keratosis
    Photodynamic light therapy: Multiple lesions can also be addressed using photodynamic light therapy, which involves applying a liquid drug called a photosensitizer to the skin. The medicine is then activated by a special blue or red light to kill abnormal skin cells. […] Finally, Dr. Christensen strongly recommends sun protection, in addition to medical therapy, for patients with multiple actinic keratoses. We know that continued sun exposure causes more AK to develop, and we know that regular use of sunblock can cause many AK to regress or disappear, he says.
  • #30 Actinic keratosis: Diagnosis and treatment
    https://www.aad.org/public/diseases/skin-cancer/actinic-keratosis-treatment
    You can often complete treatment in 1 or 2 office visits. The procedures that dermatologists use to treat AKs include: […] If you have many AKs or AKs that you can feel but not see, your dermatologist may recommend at-home treatment. […] The advantage of using a medication to treat your AKs is that the medication can treat many AKs, including the ones you cannot see yet. Using this approach can reduce your risk of developing new AKs and possibly skin cancer. […] To effectively treat the AKs, your dermatologist may prescribe both a procedure and medication that you apply at home. […] While treating actinic keratosis, never try to calm your treated skin by applying hydrocortisone or another corticosteroid medication. Using one of these will prevent your AK treatment from working. […] If you have many AKs, its a good idea to be under a dermatologists care. Your skin has been severely damaged by UV light, so its likely youll continue get new AKs. You may also develop skin cancer. Your dermatologist can watch for signs of new AKs and skin cancer.
  • #31 Actinic Keratosis Treatment & Management: Approach Considerations, Medical Care, Surgical Care
    https://emedicine.medscape.com/article/1099775-treatment
    Medical therapy has the advantage of being able to treat large areas with many lesions. […] The disadvantages of medical therapies include lengthy courses of treatment with irritation and discomfort. […] The most popular formulation is the 5% cream, which is applied twice daily for 1 month. […] During the treatment phase, the lesions become increasingly erythematous and cause discomfort; in addition, small subclinical lesions become visible. […] This treatment can be temporarily disfiguring, with erythematous ulcerations and crust formation. […] Imiquimod is a topical medication that up-regulates a variety of cytokines, which in turn invoke a nonspecific immune response (interferons, natural killer cells) and a specific immune response (T cells). […] Reaction to the drug is idiosyncratic, with some patients barely reacting and others developing marked inflammation.
  • #32 Actinic Keratosis Treatment & Management: Approach Considerations, Medical Care, Surgical Care
    https://emedicine.medscape.com/article/1099775-treatment
    Medical therapy has the advantage of being able to treat large areas with many lesions. […] The disadvantages of medical therapies include lengthy courses of treatment with irritation and discomfort. […] The most popular formulation is the 5% cream, which is applied twice daily for 1 month. […] During the treatment phase, the lesions become increasingly erythematous and cause discomfort; in addition, small subclinical lesions become visible. […] This treatment can be temporarily disfiguring, with erythematous ulcerations and crust formation. […] Imiquimod is a topical medication that up-regulates a variety of cytokines, which in turn invoke a nonspecific immune response (interferons, natural killer cells) and a specific immune response (T cells). […] Reaction to the drug is idiosyncratic, with some patients barely reacting and others developing marked inflammation.
  • #33 Actinic Keratosis (AK) > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/actinic-keratosis
    Topical treatments: When there are multiple lesions (for example, on the scalps of bald men who spend a lot of time in the sun without wearing a hat), the use of liquid nitrogen doesnt make sense. Actinic keratoses can be thought of like weeds in a garden, says Dr. Christensen. When you have many of them, it doesnt make sense to just remove them all individually. It is much more effective to apply a field treatment over a broad area, he says. This removes the spots that are visible and also prevents new ones from growing. […] Fluorouracil: The most commonly prescribed cream is fluorouracil, also known as 5-FU (brand name S Efudex, Carac, or Tolak). It works by blocking the growth of abnormal cells that cause the skin condition. […] Imiquimod: This is a type of topical immunotherapy that helps the patient’s immune system to fight off the pre-cancerous lesions.
  • #34 Actinic Keratosis Treatment & Management: Approach Considerations, Medical Care, Surgical Care
    https://emedicine.medscape.com/article/1099775-treatment
    Medical therapy has the advantage of being able to treat large areas with many lesions. […] The disadvantages of medical therapies include lengthy courses of treatment with irritation and discomfort. […] The most popular formulation is the 5% cream, which is applied twice daily for 1 month. […] During the treatment phase, the lesions become increasingly erythematous and cause discomfort; in addition, small subclinical lesions become visible. […] This treatment can be temporarily disfiguring, with erythematous ulcerations and crust formation. […] Imiquimod is a topical medication that up-regulates a variety of cytokines, which in turn invoke a nonspecific immune response (interferons, natural killer cells) and a specific immune response (T cells). […] Reaction to the drug is idiosyncratic, with some patients barely reacting and others developing marked inflammation.
  • #35 Actinic Keratosis Treatment & Management: Approach Considerations, Medical Care, Surgical Care
    https://emedicine.medscape.com/article/1099775-treatment
    Topical diclofenac sodium 3% gel is a nonsteroidal anti-inflammatory drug approved by the FDA for the treatment of actinic keratosis. […] Its mechanism of action against actinic keratoses is unknown. […] The chief advantage of diclofenac is that it produces little to no inflammation and thus is very well tolerated. […] The goal of surgical therapy is complete eradication of actinic keratoses, usually by physical destruction, with limited to no damage to surrounding healthy tissue. […] Cryosurgery refers to use of a cryogen to lower the temperature of the skin and produce cell death. […] The development of these lesions is directly proportional to sun exposure. […] Actinic keratoses can be reduced or delayed by using sunscreens and reducing sun exposure. […] If the lesions do not respond to topical therapy, they can be treated with cryotherapy with liquid nitrogen spray for 5-20 seconds. […] Lesions become irritated and ulcerate, and eventually are sloughed from healthy skin.
  • #36
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=tr5806spec
    Actinic keratosis is a skin growth caused by sun damage. It can turn into skin cancer, but this isn’t common. Actinic keratoses, also called solar keratoses, are small red, brown, or skin-coloured scaly patches. They are most common on the scalp, face, neck, hands, and forearms. […] Your doctor can remove these growths by freezing or scraping them off or by putting medicines on them. […] Actinic keratosis needs to be checked by a doctor, especially if the keratoses become painful, bleed, become open sores, become infected, or increase in size. […] Your doctor may recommend one of these treatments: […] Medicines put on the skin (topical therapy). These include medicines like fluorouracil cream, imiquimod cream, and tirbanibulin ointment. […] People who have a weak immune system have a higher risk of developing squamous cell carcinoma.
  • #37 Actinic Keratosis – Warrington, PA DermatologistActinic Keratosis – Warrington, PA Dermatologist
    https://www.warringtonderm.com/blog/920194-actinic-keratosis/
    Common treatment options for actinic keratoses include: […] During treatment, the treated sites become red, scaly, inflamed, and crusted as the medication eradicates the precancerous cells. […] Treating your precancers with a topical preparation requires diligent use of the cream to the affected areas for the prescribed amount of time. Frequently, it requires applying the medication once or twice daily for a period of days to weeks. […] If selected as your method of treatment for your actinic keratoses, your dermatologist will provide detailed instructions on how often and how long to use the topical medication.
  • #38 Actinic keratosis: Diagnosis and treatment
    https://www.aad.org/public/diseases/skin-cancer/actinic-keratosis-treatment
    You can often complete treatment in 1 or 2 office visits. The procedures that dermatologists use to treat AKs include: […] If you have many AKs or AKs that you can feel but not see, your dermatologist may recommend at-home treatment. […] The advantage of using a medication to treat your AKs is that the medication can treat many AKs, including the ones you cannot see yet. Using this approach can reduce your risk of developing new AKs and possibly skin cancer. […] To effectively treat the AKs, your dermatologist may prescribe both a procedure and medication that you apply at home. […] While treating actinic keratosis, never try to calm your treated skin by applying hydrocortisone or another corticosteroid medication. Using one of these will prevent your AK treatment from working. […] If you have many AKs, its a good idea to be under a dermatologists care. Your skin has been severely damaged by UV light, so its likely youll continue get new AKs. You may also develop skin cancer. Your dermatologist can watch for signs of new AKs and skin cancer.
  • #39
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8051
    Actinic keratosis is a skin growth caused by sun damage. It can turn into skin cancer, but this isn’t common. Actinic keratoses, also called solar keratoses, are small red, brown, or skin-coloured scaly patches. They are most common on the scalp, face, neck, hands, and forearms. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] If your doctor told you how to care for the treated area, follow your doctor’s instructions. If you did not get instructions, follow this general advice: Wash around the area with clean water 2 times a day. Don’t use hydrogen peroxide or alcohol. They can slow healing. You may cover the area with a thin layer of petroleum jelly, such as Vaseline, and a non-stick bandage. Apply more petroleum jelly, and replace the bandage as needed. Avoid using an antibiotic ointment unless your doctor recommends it.
  • #40 Actinic Keratosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.actinic-keratosis-care-instructions.uf8051
    Actinic keratosis is a skin growth caused by sun damage. It can turn into skin cancer, but this isn’t common. Actinic keratoses, also called solar keratoses, are small red, brown, or skin-colored scaly patches. They are most common on the scalp, face, neck, hands, and forearms. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] If your doctor told you how to care for the treated area, follow your doctor’s instructions. If you did not get instructions, follow this general advice: Wash around the area with clean water 2 times a day. Don’t use hydrogen peroxide or alcohol. They can slow healing. You may cover the area with a thin layer of petroleum jelly, such as Vaseline, and a nonstick bandage. Apply more petroleum jelly, and replace the bandage as needed. Avoid using an antibiotic ointment unless your doctor recommends it.
  • #41 Actinic Keratosis: Symptoms and Treatment
    https://www.webmd.com/skin-problems-and-treatments/understanding-actinic-keratosis-basics
    An actinic keratosis is a rough, scaly patch on your skin caused by too much exposure to the ultraviolet rays of the sun or tanning devices. Actinic keratoses (the plural form) can also be called solar keratoses. It’s important to know about them because they can turn into skin cancers called squamous cell carcinomas. […] The aim of actinic keratosis treatment is to remove the spot so it doesn’t turn into a skin cancer. They can be removed in several ways, with procedures or medications. […] The main treatments to use at home for actinic keratoses are FDA-approved creams, gels, or ointments prescribed by your doctor. […] If you’ve had actinic keratoses removed, through cutting, freezing, or other methods, be sure to ask your doctor how to care for the skin at home. Typically, you’ll be asked to keep the area clean and to put petroleum jelly and bandages on any wound until it heals.
  • #42 Actinic keratosis: Diagnosis and treatment
    https://www.aad.org/public/diseases/skin-cancer/actinic-keratosis-treatment
    You can often complete treatment in 1 or 2 office visits. The procedures that dermatologists use to treat AKs include: […] If you have many AKs or AKs that you can feel but not see, your dermatologist may recommend at-home treatment. […] The advantage of using a medication to treat your AKs is that the medication can treat many AKs, including the ones you cannot see yet. Using this approach can reduce your risk of developing new AKs and possibly skin cancer. […] To effectively treat the AKs, your dermatologist may prescribe both a procedure and medication that you apply at home. […] While treating actinic keratosis, never try to calm your treated skin by applying hydrocortisone or another corticosteroid medication. Using one of these will prevent your AK treatment from working. […] If you have many AKs, its a good idea to be under a dermatologists care. Your skin has been severely damaged by UV light, so its likely youll continue get new AKs. You may also develop skin cancer. Your dermatologist can watch for signs of new AKs and skin cancer.
  • #43 Actinic keratosis: Diagnosis and treatment
    https://www.aad.org/public/diseases/skin-cancer/actinic-keratosis-treatment
    Your dermatologist will tell you how often to return for check-ups. Some people need a check-up once or twice a year. If you have a weakened immune system or a rare condition that greatly increases your risk of developing AKs and skin cancer, you may need to see your dermatologist every 8 to 12 weeks. […] Self-care also plays a key role in your outcome. The right self-care can help to prevent new AKs and skin cancer.
  • #44 Actinic Keratosis (Solar Keratosis) Condition, Treatments and Pictures for Adults – Skinsight
    https://skinsight.com/skin-conditions/actinic-keratosis-solar-keratosis/
    Actinic keratoses, also known as solar keratoses, are small rough, scaly, slightly raised areas of skin (papules) that usually occur in body locations that have been chronically exposed to the sun. […] Because of this risk, it is important to perform self-examinations regularly and get them treated by a medical professional early. […] Prevention is very important. Sun protection can reduce the number of new actinic keratoses from occurring and may help small lesions go away on their own. […] Perform a self-exam regularly to look for signs of skin cancer. […] As you perform your self-exam, familiarize yourself with the moles, freckles, and other marks on your body, and look for any changes in them from month to month, including changes in shape, size, color, and other changes, such as moles that bleed or itch. […] Depending on how many actinic keratoses you have, your medical professional will tailor treatment, which may include: […] If you have a new skin growth or an existing lesion that is growing or bleeding, see your medical professional.
  • #45 Actinic Keratosis Warning Signs and Images
    https://www.skincancer.org/skin-cancer-information/actinic-keratosis/actinic-keratosis-warning-signs-and-images/
    Detecting an actinic keratosis (AK) early gives you the opportunity to treat the lesion and prevent skin cancer before it starts. When diagnosed promptly, almost all actinic keratoses (plural) can be successfully removed. Left untreated, some AKs may progress to squamous cell carcinoma (SCC). […] If you have a history of unprotected UV exposure, live in a sunny location or have other risk factors, be on the lookout for any unusual changes in your skin. […] See your dermatologist every year for a professional skin exam. Having a specialist who is skilled at identifying and treating abnormal skin growths is vital to your health and wellness. Anyone who has AKs should be under a dermatologist’s care. […] Practice sun-safe habits: A complete sun protection strategy is the single most effective way to reduce your risk of developing AKs. Avoid unprotected UV exposure. Seek the shade, especially between 10 AM and 4 PM, use a broad-spectrum (UVA)/UVB) sunscreen and wear sun-protective clothing, a wide-brimmed hat and UV-blocking sunglasses.
  • #46 Actinic keratoses (solar keratoses)
    https://www.nhs.uk/conditions/actinic-keratoses/
    Actinic keratoses (also called solar keratoses) are dry, scaly patches of skin that have been damaged by the sun. It’s not usually serious, but there’s a small chance the patches could become skin cancer. Protecting your skin in the sun and watching out for changes can help. […] If you have more than 1 patch, or a patch is causing you problems such as pain and itchiness, treatment is usually recommended. […] There are things you can do to stop your actinic keratoses patches getting worse and lower your chances of developing skin cancer. […] check your skin regularly for any changes […] use sunscreen with a sun protection factor (SPF) of at least 30 before going out in the sun and reapply regularly […] wear a hat and clothing that fully covers your arms and legs when you’re out in the sun. […] do not sunbathe […] do not use sunlamps or sunbeds as these can also damage your skin […] do not go into the sun between 11am and 3pm this is when the sun is at its strongest.
  • #47 Actinic keratosis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/actinic-keratosis/symptoms-causes/syc-20354969
    If treated early, actinic keratosis can be cleared up or removed. If left untreated, some of these spots might progress to squamous cell carcinoma. This is a type of cancer that usually isn’t life-threatening if detected and treated early. […] Sun safety helps prevent actinic keratoses. Take these steps to protect your skin from the sun: […] Limit your time in the sun. Especially avoid time in the sun between 10 a.m. and 2 p.m. And avoid staying in the sun so long that you get a sunburn or a suntan. […] Use sunscreen. Before spending time outdoors, apply a broad-spectrum water-resistant sunscreen with a sun protection factor (SPF) of at least 30, as the American Academy of Dermatology recommends. Do this even on cloudy days. […] Check your skin regularly and report changes to your health care provider. Examine your skin regularly, looking for the development of new skin growths or changes in existing moles, freckles, bumps and birthmarks.
  • #48 Actinic Keratosis: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.actinic-keratosis-care-instructions.uf8051
    To help prevent getting another actinic keratosis: Always wear sunscreen on exposed skin. Make sure to use a broad-spectrum sunscreen that has a sun protection factor (SPF) of 30 or higher. Use it every day, even when it is cloudy. Wear long sleeves, a hat, and pants if you are going to be outdoors for a long time. Avoid the sun between 10 a.m. and 4 p.m., the peak time for UV rays. Do not use tanning booths or sunlamps. […] Watch closely for changes in your health, and be sure to contact your doctor if you have symptoms of infection, such as: Increased pain, swelling, warmth, or redness. Red streaks leading from the area. Pus draining from the area. A fever. You see a change in your skin, such as a spot, growth, or mole that: Grows bigger. This may happen slowly. Changes color. Changes shape. Starts to bleed easily. You have a wound that does not heal.
  • #49 Actinic keratoses – BAD Patient Hub
    https://www.skinhealthinfo.org.uk/condition/actinic-keratoses/
    Treatments that your doctor can provide for actinic keratoses: Creams (topical treatments): Several types of cream or gel can be prescribed for use at home. These include 5-fluorouracil or imiquimod which are effective treatments. […] Protecting your skin from the sun will help reduce the number of new actinic keratoses and will reduce the risk of developing skin cancer. […] Be skin aware – examine your own skin every few months and see your doctor if you notice something new that appears abnormal. If actinic keratosis starts to develop into a lump or starts to bleed, then visit your GP promptly. These symptoms can indicate that it has changed into skin cancer. Early treatment is usually curative. […] People who actively avoid sun exposure should have their vitamin D levels checked and monitored. Your GP may advise you to take a vitamin D supplement.
  • #50
    https://www.nursingcenter.com/journalarticle?Article_ID=5705209&Journal_ID=849729&Issue_ID=5705176
    Actinic keratoses (AKs) are rough, scaly papules or plaques on sun-exposed areas of the body that may progress to squamous cell carcinoma. […] Nurses can play a pivotal role in empowering and educating their patients to make the right choices to keep their skin healthy and cancer-free for years to come. […] In summary, AKs are an extremely common dermatologic disease that will be frequently encountered by dermatology nurses. Therefore, it is crucial for nurses to be knowledgeable in the assessment and management of this precancerous condition. […] As discussed in this review, many effective treatments exist for AKs, but treatment choice must be tailored to each individual patient with consideration made to patient preference and potential side effects. […] Nurses can play a pivotal role in empowering and educating their patients about AK prevention and treatment so that they can make the choices necessary to keep their skin healthy and cancer-free for years to come.
  • #51
    https://www.nursingcenter.com/journalarticle?Article_ID=5705209&Journal_ID=849729&Issue_ID=5705176
    Actinic keratoses (AKs) are rough, scaly papules or plaques on sun-exposed areas of the body that may progress to squamous cell carcinoma. […] Nurses can play a pivotal role in empowering and educating their patients to make the right choices to keep their skin healthy and cancer-free for years to come. […] In summary, AKs are an extremely common dermatologic disease that will be frequently encountered by dermatology nurses. Therefore, it is crucial for nurses to be knowledgeable in the assessment and management of this precancerous condition. […] As discussed in this review, many effective treatments exist for AKs, but treatment choice must be tailored to each individual patient with consideration made to patient preference and potential side effects. […] Nurses can play a pivotal role in empowering and educating their patients about AK prevention and treatment so that they can make the choices necessary to keep their skin healthy and cancer-free for years to come.
  • #52 Actinic Keratosis: Risk Factors, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/14148-actinic-keratosis
    Actinic keratosis is a serious skin disorder that requires immediate treatment. Most AKs go away with surgical or topical treatment. You can lower your risk of actinic keratosis by protecting your skin from sun exposure and ultraviolet light. If you think you have AK, speak with your healthcare provider about diagnosis and treatment. The sooner you seek treatment for actinic keratosis, the less likely you are to develop skin cancer.
  • #53
    https://www.nursingcenter.com/journalarticle?Article_ID=5705209&Journal_ID=849729&Issue_ID=5705176
    Actinic keratoses (AKs) are rough, scaly papules or plaques on sun-exposed areas of the body that may progress to squamous cell carcinoma. […] Nurses can play a pivotal role in empowering and educating their patients to make the right choices to keep their skin healthy and cancer-free for years to come. […] In summary, AKs are an extremely common dermatologic disease that will be frequently encountered by dermatology nurses. Therefore, it is crucial for nurses to be knowledgeable in the assessment and management of this precancerous condition. […] As discussed in this review, many effective treatments exist for AKs, but treatment choice must be tailored to each individual patient with consideration made to patient preference and potential side effects. […] Nurses can play a pivotal role in empowering and educating their patients about AK prevention and treatment so that they can make the choices necessary to keep their skin healthy and cancer-free for years to come.
  • #54 Actinic Keratosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK557401/
    Actinic keratoses are premalignant cutaneous lesions that may progress to squamous cell carcinoma. Diagnosing actinic keratosis promptly and providing appropriate treatment to mitigate the risk of malignant transformation is crucial. Additionally, implementing preventive strategies is essential to minimize the occurrence of actinic keratosis. This activity aims to discuss the evaluation and treatment of actinic keratosis, emphasizing the role of the interprofessional team in managing patients with this condition. […] Actinic keratoses, also known as senile keratoses or solar keratoses, are benign intra-epithelial neoplasms commonly evaluated by dermatologists. […] Actinic keratosis can present in various forms, such as scaly, erythematous macules, papules, plaques, or cutaneous horns. […] Actinic keratoses are a cutaneous manifestation of repeated sun exposure. Patients diagnosed with actinic keratosis should undergo regular skin cancer screening. Patients should be educated about photoprotection strategies and self-skin cancer surveillance.