Actinic keratosis may turn into skin cancer.
Overview
UV damage causes the skin condition known as actinic keratosis (AK), also referred to as solar keratosis. It resembles a lump or rough, scaly area on the skin. Sometimes AKs can progress to skin cancer if left untreated.
output:Actinic keratosis on the face
What Is Actinic Keratosis?
- Long-term exposure to UV light causes actinic keratosis (AK), a rough, scaly patch on your skin.
- An AK typically appears on the face, ears, lips, scalp, neck, shoulders, and hands—areas of the body that receive a lot of sun exposure.
- Multiple actinic keratosis lesions are formed in cases of actinic keratoses (AKs; multiple).
Warning
If treatment is not received, AKs can progress to squamous cell carcinoma, a type of skin cancer, even though only 5 to 10% of them will become cancer. Although most AKs resolve with treatment, it's crucial to treat all of them because doctors are unsure of which AKs will develop into skin cancer.
Actinic Keratosis Causes and Risk Factors
The main factor causing AK is excessive UV light exposure. The cells in the outermost layer of your skin, known as keratinocytes, can be harmed over time by UV radiation from the sun or indoor tanning equipment. An AK lesion is the result of this.
Who is the most suffering?
- AKs can happen to anyone, but they are more likely to happen to people with fair skin, blue or green eyes, or blond or red hair.
- Spend a lot of time in the sun or work outside.
- Living in a sunny spot
- Gets freckled or burned easily
- Have a history of sunburns or prolonged exposure to the sun.
- Have reached the age of forty.
- Possess a compromised immune system
- Received a transplant of organs
- Take medications that weaken your defenses.
Additional signs of an AK lesion include:
- Skin patches that itch, burn, or sting
- The skin's crusting or bleeding
- Scaly, dry skin patches
- Lips losing their color
- Tenderness or pain in some skin regions
- Wart-like, horn-like, or hard growths
Actinic Keratosis Signs and Symptoms
- An illustration titled "Symptoms of Actinic Keratosis" shows scaly patches,
- stinging or burning,
- pain or tenderness,
- loss of lip color,
- bleeding and growths that resemble warts.
Actinic keratosis may be the cause of any of these skin symptoms.
- The appearance of AKs usually happens gradually on sun-exposed skin.
- They usually appear as lumps or rough, elevated patches of skin, though their appearance can vary.
- In addition to being flesh-toned, pink, red, or gray, these lesions may have a yellow or brown crust on top.
- Usually, they have a diameter of less than an inch.
How Is Actinic Keratosis Diagnosed?
Usually, doctors can identify an AK by feeling the lesion and looking at it. If they are unsure whether the spot is an AK, they may perform a skin biopsy. A tiny sample of tissue will be taken out and sent to a lab for microscopic analysis. A diagnosis can be confirmed by the biopsy's findings. Dermatologists, who specialize in skin disorders, typically diagnose AKs.
Treatments for Actinic Keratosis and Available Drugs
The video about microneedle treatment.
Doctors do not yet know which AKs are benign and which will progress to cancer. This is why it is so important to treat the lesions. A variety of therapy methods are available. The optimal course of treatment for your disease can be determined with the assistance of your physician.
Options for Medication
Doctors may suggest topical gels or lotions to treat AKs. These could consist of the following medications:
Fluorouracil
This cream prevents abnormal cells from proliferating.
Imiquimod, or Aldara This treatment stimulates your immune system to fight the precancerous lesions.
Diclofenac is a prescription medicine. Nonsteroidal anti-inflammatory drugs (NSAIDs), like diclofenac, typically cause less irritation than other topical treatments, but they take longer to start working.
Tirbanibulin (Klisyri), a more recent drug, works by eliminating abnormal cells. Five days is the usual usage period.
You can use these topical treatments at home. You may need them for as long as four months, depending on the severity of your AK and the medications you are taking. The medication's adverse effects could include skin that is burning, scaling, swollen, or red. However, consult a dermatologist before using any ointment.
Cryotherapy's application
During cryotherapy, the AK lesions are frozen using liquid nitrogen. After a few days, they will blister and come off. Cryotherapy is the most widely used treatment for AK. It can be done in your doctor's office. Possible side effects include blistering of the skin, changes in color or texture, infection, and scarring.
Operation
Sometimes, doctors will remove the AK lesion with a simple excision procedure. They will start by numbing the vicinity of the AK. After that, your provider will cut out or scrape away the AK. Your provider will sew the area back together. Two to three weeks are typically needed for the healing process.
Also, read https://skinhospital.edu.au/sun-spots/.
Laser Treatment
Your doctor may use an ablative laser device to destroy your AK patches, causing new skin to grow in its place. Laser side effects include scarring and discoloration of the skin.
Photodynamic Treatment
A patient who has multiple AKs or whose AKs recur after initial treatment often needs photodynamic therapy. Applying a light-sensitive cream to the affected area and then exposing it to a specific kind of light destroys the AK. Possible side effects include skin irritation, swelling, and a burning sensation during the procedure.
Chemical Peel
To treat AKs, doctors may occasionally suggest a chemical peel. Special ingredients in the peel destroy precancerous lesions in the outermost layer of your skin. As your skin heals, a new, healthy layer of skin appears. You can get the peel done in the workplace.
Preventing Actinic Keratosis
- AKs can be prevented by sun protection. Here are some steps:
- Take care of the sun. Avoid being outside between 10 a.m. and 2 p.m. if at all possible. Reduce your time in the sun to prevent sunburn and tanning.
- Use sunscreen. Sunscreen with at least 30 SPF is recommended even on overcast days. Before going outside, apply at least fifteen minutes beforehand, and then every two hours.
- Dress protectively. Wearing hats with wide brims and covering your arms and legs can help shield your skin from the sun.
- Stay away from tanning beds. Just as harmful as the sun are the UV rays from tanning beds.
- Check your skin frequently. Examine your skin for any new freckles, lumps, or moles. Inform your physician of any changes to your skin.
- Regularly check your skin. For treatment, a dermatologist can identify troublesome skin lesions early.
How long does actinic keratosis last?
Treatment can take three months to eliminate an AK. You might need to visit your doctor once or twice a year after the lesion goes away. If your immune system is weak, your doctor may recommend four to six annual examinations. The majority of AKs are curable. If you do not protect yourself from sun damage, they might come back.
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