Skip to main content

Keratosis, Actinic

Zoltan Trizna, MD, PhD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Common, usually multiple, premalignant lesions of sun-exposed areas of the skin. Many resolve spontaneously, and a small proportion progresses to squamous cell carcinoma (SCC).

  • Common...

DIAGNOSIS

HISTORY

  • The lesions are frequently asymptomatic; symptoms may include pruritus, burning, and mild hyperesthesia.

  • Lesions may enlarge, thicken, or become more scaly. They also may regress or re...

TREATMENT

  • First-line treatment is cryotherapy (technically, this is considered surgery, especially by insurance companies) (1). Medical therapy is usually reserved for multiple or extensive AKs (“fie...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Depends on associated malignancy and frequency with which new AKs appear 

PATIENT EDUCATION

  • Teach sun-protective techniques.

    • Limit outdoor activiti...

REFERENCES

1
Helfand  M, Gorman  AK, Mahon  S, et al. Actinic Keratoses: Final Report . Rockville, MD: Agency for Healthcare Resea...

CODES

ICD10

L57.0 Actinic keratosis 

SNOMED

  • 201101007 Actinic keratosis (disorder)

  • 254667001 Hypertrophic solar keratosis

  • 403200005 Atrophic actinic keratosis

  • 403198004 lichenoid actinic keratosis (disorder...

CLINICAL PEARLS

  • AKs are premalignant lesions, although most will not progress to squamous cell cancer and many will regress with time.

  • Often more easily felt than seen

  • Therapy-resistant lesions should b...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×