clinical features
Last edited 02/2022
- patients are middle-aged or elderly:
- more common in outdoor workers e.g. fishermen
- more common in fair-skinned people who live in tropical or sub-tropical regions e.g. Southern USA & Australia
- red, scaling papulue or plaque on a sun-exposed area (1)
- skin lesions bleed easily with minor trauma
- typically, patients give a history of a lesion that loses its scale but then recurs
There are six types of actinic keratosis that can be recognized histologically: hypertrophic, atrophic, bowenoid, acantholytic, pigmented, and lichenoid (1).
Reference:
- (1) Moy RL. Clinical presentation of actinic keratoses and squamous cell carcinoma. J Am Acad Dermatol. 2000 Jan;42(1 Pt 2):8-10. doi: 10.1067/mjd.2000.103343. PMID: 10607350.
- (2) James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus I. Epidermal Nevi, Neoplasms, Cysts. In: Andrews' diseases of the skin clinical dermatology. Edinburgh: Elsevier; 2020.