Keratosis actinica pigmented type L57.00

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Rather rarely occurring variant of actinic keratoses (see below Keratosis actinica (overview), which is characterized by a varying degree of pigmentation. Actinic keratoses are so-called precanceroses, i.e. non-invasive, early (in situ) squamous cell carcinomas.

Etiopathogenesis
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Manifestation
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Especially occurring in light-skinned, sunburn prone and elderly people. Men are more frequently affected than women. Actinic keratoses are the first, clinically manifest skin changes in a UV-damaged area of skin, in which potentially further lesions can develop. This is known as"field carcinogenesis".

Localization
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Chronically light-exposed skin areas of the scalp, especially forehead, bald head, nose, auricles, cheeks, back of the hand, red lips (Cheilitis actinica). Less frequently: décolleté, extensor side of the forearms, back of the hands, lower legs,

Clinical features
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  • Initially a few millimetres in size, round, oval or irregular, sharply or blurredly defined, reddish-brown or brown, but also blue-black, flat papules or plaques with a rough, horny surface, also interspersed with telangiectasias. Continuous increase in size (1.0-2.0 cm or larger). Tendency to bleed after small injuries. Apart from its coloration, this type is not significantly different from the other clinical variants of actinic keratoses.

Therapy
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Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020