Curaderm BEC5 And Actinic Keratosthenes
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What The Mayo Clinic Says About Actinic Keratoses
Actinic Keratoses are a possible predictor of skin cancer.
Actinic Keratoses
These red patches caused by sun exposure are made of abnormal cells that can mutate into malignant cells in the basal, or lower layers of the skin.
An actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on your skin that develops from years of exposure to the sun. It’s most commonly found on your face, lips, ears, back of your hands, forearms, scalp or neck — areas of skin typically exposed to the sun.
An actinic keratosis, also known as solar keratosis, enlarges slowly and usually causes no signs or symptoms other than a patch or small spot on your skin. An actinic keratosis takes years to develop, usually first appearing in older adults. Many doctors consider an actinic keratosis to be precancerous because it can develop into skin cancer.
You can reduce your risk of actinic keratosis by minimizing your sun exposure and protecting your skin from ultraviolet (UV) rays.
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Symptoms
The signs and symptoms of an actinic keratosis 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, wart-like surface
- Color ranging from pink to red to brown, or flesh-colored
- Itching or burning in the affected area
Actinic keratoses are found primarily on areas exposed to the sun, including your face, lips, ears, back of your hands, forearms, scalp and neck.
An actinic keratosis sometimes resolves on its own, but typically returns again after additional sun exposure. If just scratched or picked off, an actinic keratosis will return.
When to see a doctor
Because it can be difficult to distinguish between noncancerous spots and cancerous ones, it’s best to have new skin changes evaluated by a doctor, especially if a spot or lesion persists, grows or bleeds.
Dr. John Kelemen
See your doctor or ask for a referral to a dermatologist if a skin lesion:
- Is painful
- Itches or burns
- Oozes or bleeds
- Becomes scaly or crusty
- Changes in size, shape, color or elevation
Cause
Frequent or intense exposure to UV rays, typically from the sun, causes an actinic keratosis.
An actinic keratosis begins in your skin’s top layer — the epidermis. The epidermis is as thin as a pencil line, and it provides a protective layer of skin cells that your body continually sheds.
Normally, skin cells within the epidermis develop in a controlled and orderly way. In general, healthy new cells push older cells toward the skin’s surface, where they die and eventually are sloughed off. When skin cells are damaged through UV radiation, changes occur in the skin’s texture and color, causing blotchiness and bumps or lesions.
Most of the damage to skin cells results from exposure to UV radiation from sunlight and commercial tanning lamps and beds. The damage adds up over time, so the more time you spend in the sun or in a tanning booth, the greater your chance of developing skin cancer. Your risk increases even more if most of your outdoor exposure occurs at times of the day or in locations where the sunlight is most intense.
Risk Factors
Mr. Sun
Although anyone can develop actinic keratoses, you may be more likely to develop the condition if you:
- Are over age 40
- Live in a sunny climate
- Have a history of frequent or intense sun exposure or sunburn
- Have pale skin, red or blond hair, and blue or light-colored eyes
- Tend to freckle or burn when exposed to sunlight
- Have a personal history of an actinic keratosis or skin cancer
- Have a weak immune system as a result of chemotherapy, chronic leukemia, AIDS or organ transplant medications
Complications
If treated early, almost all actinic keratoses can be eliminated before developing into skin cancer. However, if left untreated some of these spots or patches may progress to squamous cell carcinoma, a serious form of skin cancer.
An actinic keratosis may be the earliest form of squamous cell carcinoma. This type of cancer usually isn’t life-threatening if detected and treated early. In a few cases, however, squamous cell carcinoma can grow to be large and invade surrounding tissues, with some even spreading (metastasizing) to other parts of your body.
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