What Is Actinic Keratosis?
If you've spent a lot of time in the sun, you might be noticing some changes in your skin. Actinic keratosis (AK), also known as solar keratosis, is a scaly, crusty, rough lesion that grows on the skin in areas exposed to sunlight. It often appears on the face, lips, scalp, ears, shoulders, and other areas regularly exposed. Most often, the areas affected will present with more than one lesion. These lesions develop slowly over time and may vanish and reappear. They are often itchy, uncomfortable, and eventually become inflamed. A thorough skin evaluation with Dr. Adam Aldahan and our experienced team at Palm Beach Dermatology will include analyzing skin lesions clinically and using dermoscopy. This skin ailment is considered precancerous, as untreated lesions can develop into cancerous cells and lead to various types of skin cancer, including squamous cell skin cancer. Elimination of the lesions will most likely be recommended but will be discussed during your examination. Schedule a consultation at our Boca Raton, FL practice to learn more about our treatment options.
How Is Actinic Keratosis Treated?
Prompt intervention and treatment are imperative to prevent an isolated actinic keratosis (or keratoses) from developing into skin cancer. The treatment method chosen depends on several factors, including your age, health, skin type, the size and growth characteristics of the lesion(s), and the location of the treatment area. Common treatment choices include:
- Cryosurgery: This involves applying liquid nitrogen to freeze and destroy the lesions.
- Electrodesiccation and curettage: This procedure scrapes away actinic keratosis lesions and uses heat to cauterize the area, reducing the risk of recurrence.
- Photodynamic therapy: This approach utilizes light-sensitive medication that targets and destroys abnormal cells when exposed to special light. It's especially effective in treating actinic keratosis in large areas.
- Topical chemotherapy: Medications, like fluorouracil or a combination of fluorouracil and calcipotriene, are applied to the skin to reduce the lesions and prevent scarring. This topical treatment can take several weeks to show results.
- Imiquimod: A topical immune-response stimulator that encourages the body's immune system to attack cancerous cells and actinic keratosis lesions.
- Chemical peels: Acidic solutions, like salicylic acid, are applied to the skin, causing the top layer of skin to peel away, allowing new, healthier skin to form.
In some cases, a squamous cell carcinoma may develop from untreated actinic keratoses, and additional treatments may be required. Long-term follow-up is essential to monitor for new or recurring lesions.
What Are the Symptoms of Actinic Keratosis?
Recognizing early signs of actinic keratosis is important for the prevention of serious skin issues and timely treatment at Palm Beach Dermatology in Boca Raton, FL. Early detection and treatment can help prevent the progression of skin cancer. Some common symptoms of actinic keratosis include:
- Rough or dry patches on the skin
- Itching or irritation in the affected area
- Red, scaly, or bumpy skin
- Swelling in the patchy region
- Slow growth of the affected area over time
- Symptoms may worsen with sun exposure or other UV radiation sources
Palm Beach Dermatology Reviews
I had a great experience with Dr. Adam! He was very professional, friendly, and made me feel comfortable throughout the entire visit. The staff treated me with kindness and respect, and everything was handled smoothly from check-in to checkout. Dr. Adam also took the time to explain my skin concerns clearly and even prescribed his own line of skincare products, which I’m really excited to try out. I definitely recommend this office to anyone looking for quality dermatological care.
I had a lipoma removed by Dr. Aldahan, and the entire experience was outstanding. From scheduling the appointment, to them checking if the accept my insurance, it was perfect. Not only was he professional, kind, and reassuring throughout the procedure, but the staff was also absolutely wonderful—friendly, attentive, and welcoming from start to finish. The removal itself was quick, virtually painless, and professionally done.
Dr.Aldahan is the absolute best in the game
Very caring and friendly doctor and the staff was great, friendly atmosphere!
Dr. Aldahan was amazing in every way. He knew exactly what he was talking about and was quick to come up with solutions. I highly recommend to go to him. Extremely nice Doctor.
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What Are the Causes of Actinic Keratosis?
Excessive, long-term sun exposure is the primary cause of actinic keratosis, especially in individuals with fair skin who are more sensitive to UV damage. Older adults face a higher risk, as sun-related skin changes accumulate over time. While not every actinic keratosis becomes cancerous, some can progress into more serious conditions if left untreated. Protecting your skin is essential—apply broad-spectrum sunscreen, wear sun-protective clothing, and limit exposure during peak sunlight hours. If you notice persistent rough patches, scaly spots, or dark crusts that don’t heal, it’s important to seek professional evaluation. After using any topical treatments, remember to wash your hands and continue wearing protective clothing to help prevent future damage.
How is Actinic Keratosis Diagnosed?
At Palm Beach Dermatology in Boca Raton, FL, Dr. Aldahan begins the diagnosis with a thorough visual skin exam to assess any suspicious areas. In many cases, actinic keratosis can be identified by appearance alone. However, if a lesion looks unusual or raises concern, a skin biopsy may be performed to rule out skin cancer. With his expertise in diagnosing and managing precancerous conditions, Dr. Aldahan ensures you receive accurate answers and a treatment plan tailored to your needs.
Actinic Keratosis FAQ
Is actinic keratosis dangerous?
While not immediately harmful, actinic keratosis is considered a precancerous condition. If left untreated, it can develop into squamous cell carcinoma, a more serious type of skin cancer. Early diagnosis and treatment from a dermatologist like Dr. Aldahan are key to preventing complications.
Can actinic keratosis come back after treatment?
Yes, new lesions can form in sun-damaged areas even after successful treatment. Regular follow-up visits with Dr. Aldahan help monitor your skin and address any new areas of concern early.
How can I prevent actinic keratosis?
Prevention includes consistent sun protection habits:
- Wearing broad-spectrum sunscreen daily
- Avoiding peak sun hours
- Wearing protective clothing and hats
- Avoiding tanning beds
The team at Palm Beach Dermatology in Boca Raton, FL can also recommend a skincare routine to minimize sun damage and reduce your risk.
Protect Your Skin from Actinic Keratosis
If you notice rough, scaly patches that don't seem to heal, they could be actinic keratoses. Early detection and treatment can help prevent more serious skin conditions. Schedule an appointment with Dr. Adam Aldahan at Palm Beach Dermatology in Boca Raton, FL, to explore the right options for your skin. Proactive care and protecting your skin from future sun exposure can make a significant difference in maintaining your skin's health over time.