Active actinic or solar keratosis - risk factors, symptoms, treatment and prevention

- over 40 years of age - professions requiring prolonged exposure to sunlight - people with red or blond hair - people with - low. The clinical picture in the first phase is typical with the appearance of small lesions, which are most often detected by palpation. The lesions may be macular or, often, multiple, at the beginning flat, irregular, but with well-rounded edges, brown or yellowish, becoming overlapping hyperkeratosis time with adherent scoops. Symptoms occur when the condition begins and manifests itself by: - ​​the affected area is harsh - it becomes more and more annoying - burning sensation - hardening of the skin - and if the lesion is located at the lip level, the sensation of. All of these symptoms can appear and disappear as suddenly as the condition can pass without treatment, but it will reappear soon if it continues. Required Investigations The main rule for an investigation is to visit your doctor.

It will decide the type of keratosis and will determine the sampling for the microscopic exam. This is necessary to determine the differential diagnosis with a cancerous lesion. This keratosis can suddenly evolve into a carcinoma transformation, namely in basal cell or spinocellular carcinoma after a latency period of 10 to 15 years. Of those untreated, about 10-20% of patients can develop a form of cancer. Prognosis is good enough because growth is slow and low, and they can even disappear if sun exposure is reduced.

It is imposed on those with a professional risk and phenotypic predisposition, and this prophylaxis consists of: avoiding prolonged exposure to the sun, especially in the afternoon, obligatory sun protection by applying creams with (sun protection factor) and wearing clothes that give . It consists of the removal and destruction of keratoses lesions by various dermatological methods such as: - electrocoagulation for surface lesions, - with liquid nitrogen or carbonic snow in the case of superficial injuries, and the destruction is accomplished by low temperatures of nitrogen or carbon snow, - photocoagulation with the help of . Besides this type of keratosis, the most common, there are other rare types, but of equal importance, because they can also be precancerous lesions. is a disease characterized by the presence of colored and multiple thickening areas at the trunk and face level that do not have a known cause and occur after the age of 40. Small ridges in the skin are in the form of brownish papules, which resemble very well with some warts due to the irregular surface.

Evolution is generally benign; . No destruction is necessary if the lesion is malignant and the dermatologist does not suspect a malignant transformation (), and if the biopsy reveals a possible transformation, destruction will take place, as in the case. Senate keratosis has the same type of lesions as actinic keratosis, but the name differs from the frequency of occurrence (in elderly over 65 years). Therapeutic conduct is the same as in the above, with minor changes in patient age and approach. Keratoses occurring in workers handling various naphtalene or anthracene lubricating oils, and are particularly located on the back of the hand, face, lower third of the forearms and neck.

These keratoses initially appear in the form of gray papules that can be easily removed with the nail by the patients without bleeding but increasing the risk of overinfection, and subsequently the lesions change and become keratoses or warts. It is worth mentioning that by avoiding contact with the injuries, the lesions can disappear without specific treatment. Arsenic keratoses are hyperkeratosis lesions that occur many years after exposure to inorganic arsenic, and those workers who were exposed to 90 g of arsenic will necessarily develop specific lesions that can turn into a. Prophylaxis remains clothing protection and improvement of working conditions, plus the washing and use of dermoprotective creams. Protecting the skin from exposure to sunlight remains essential, use is increasingly promoted for good, and light clothing, hats and umbrellas should not be missed during the summer.

In addition, the annual follow-up of lesions to the dermatologist for the detection of a possible malignancy remains at the forefront. .