Actinic Keratosis Introduction
Early diagnosis is often possible because there are warning signs that may appear before cancer actually begins to develop. One of these warning signs is actinic keratosis (AK)—a skin condition that is believed to be a precursor to certain types of skin cancer.
Although generally harmless, actinic keratosis may be the first sign of a more serious medical condition, which is why it is important that you examine your skin on a regular basis and seek medical advice and treatment should you identify any irregularities in your skin.
What Causes Actinic Keratosis?
While actinic keratosis can be caused by carcinogens, or cancer-causing agents, like exposure to radiation and chemicals, the most common cause of actinic keratosis is exposure to ultraviolet light produced by the sun. Much like squamous and basal cell carcinoma, actinic keratosis is generally caused by long-term, cumulative sun exposure. This is why actinic keratosis is often referred to as solar keratosis.
Ultraviolet light damages the DNA of epidermal skin cells, which causes them to develop abnormalities in size, shape, and organization. These changes may cause the cells to divide uncontrollably, resulting in a lesion or plaque on the skin’s surface. Left untreated, the damaged cells can become cancerous with time.
Who’s at Risk for Developing AK?
Because actinic keratosis is primarily linked to sun exposure, people who live in sunny areas or who spend a significant amount of time in the sun without proper protection are also at a higher risk of developing the condition.
DNA damage that occurs from occasional sun exposure is usually repaired by built-in DNA repair mechanisms in your body. However, long-term sun exposure can lead to DNA damage that is not repaired. This is why the effects of sun damage are not usually evident for many years, and why actinic keratosis is most commonly observed after the age of forty.
Identifying Actinic Keratosis
Actinic keratoses appear as rough, callous, scaly lesions or plaques on the skin’s surface. Although dry, rough patches are characteristic, actinic keratoses may also present as oozing lesions that do not heal or as thick, horny growths. Lesions may vary in color from light beige tones to dark brown and range in size from a small dot to approximately an inch in diameter. In addition, they may seem to appear and disappear periodically, or they may remain in place for a long period of time.
Actinic keratosis can look remarkably like certain types of skin cancer—particularly squamous cell carcinoma. This is why it is important that you contact a dermatologist to determine the nature of any suspicious lesion on your skin. To view several different types of actinic keratosis.
How to Prevent Actinic Keratosis
Clearly, the best line of defense is to avoid sun exposure. In general, you should avoid being in the sun from 10 AM to 2 PM as the sun’s rays are at their most intense during this time. Even on a cloudy day, dermatologists recommend applying a daily broad spectrum UVA and UVB sunscreen of SPF 15 or greater to protect your skin from incidental exposure. Lastly, wide-brimmed hats, long-sleeved shirts, and long pants provide excellent sun protection.
Not all types of keratoses need to be removed, but you should consult with a dermatologist, who will make a determination based on the type of lesion, your health condition, and age. Fortunately, there are a variety of treatments. Please roll over the small images at the top of your screen for more information about treatment options that you can discuss with your dermatologist.