Actinic keratosis: a case report

Authors

  • Carmen Itta Machado Méndez Médico dermatóloga. Dpto. de Medicina del H.C.FF.AA. Servicio de Dermatología y Alergología

DOI:

https://doi.org/10.35954/SM2016.35.2.5

Keywords:

Keratosis Actinic, Carcinoma Squamous Cell, Skin Neoplasms, Sunscreening Agents, Ultraviolet Rays

Abstract

The clinical history of a 78-year-old woman, phototype III according to Fitzpatrick's classification, who was exposed to the sun for a long time and presented skin with marked actinic damage evidenced by abundant actinic lentigines; she developed disseminated actinic keratoses in the neckline, lower limbs, upper limbs and face.
Based on this history and having consulted the corresponding bibliography, the clinical, etiopathogenic, epidemiologic, anatomopathologic characteristics and treatments of actinic keratoses are presented, as well as guidelines for their prevention.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

(1) Hernandez Osorio C, Fuentes Palma B, CartesVelasquez R. Queilitis actínica: aspectos histológicos, clínicos y epidemiológicos. Rev Cubana Estomatol 2016; 53(2):45-55.

(2) Moy RL. Clinical presentation of actinic keratoses and squamous cell carcinoma. J Am Acad Dermatol 2000; 42(1 Pt 2):8-10.

(3) Schwartz RA. Premalignant keratinocytic neoplasms. J Am Acad Dermatol 1996; 35(2 Pt 1):223-42.

(4) Marks R. Who benefits from calling a solar keratosis a squamous cell carcinoma? Br J Dermatol 2006; 155(1):23-6.

(5) Ciudad C, Aviles J, Suarez R, Lázaro P. Utilidad de la dermatoscopia en el diagnóstico de las queratosis actínicas pigmentadas. Actas Dermosifilogr 2011; 102(8):623-626.

(6) Rigel D, Cockerell C, Carucci J, Wharton J. Queratosis Actínica, Carcinoma Basocelular y Carcinoma Espinocelular. Cap. 108. En: Bolognia J, Jorizzo J, Rapini R, editores. Dermatología. 2a.ed. Madrid : Mosby, Elsevier, 2004, p.1641-1660.

(7) Yu R, Pryce D, Macfarlane A, Stewart T. A histopathological study of 643 cutaneous horns. Br J Dermatol 1991; 124(5):449-52.

(8) Pellacani G, Ulrich M, Casari A, Prow T, Cannillo F, Benati E, et al. Grading keratinocyte atypia in actinic keratosis: a correlation of reflectance confocal microscopy and histopathology. J Eur Acad Dermatol Venereol 2015; 29(11):2216-21.

(9) Dinehart SM, Nelson-Adesokarn P, Cockerell C, Russell S, Brown R. Metastatic cutaneous squamous cell carcinoma derived from actinic keratosis. Cancer 1997; 79(5):920-3.

(10) Glogau R. The risk of progression to invasive disease. J Am Acad Dermatol 2000; 42(1 Pt 2):23-4.

(11) Hurtwitz RM, Monger LE. Solar keratosis an evolving squamoius cell carcinoma, benign or malignant? Dermatol Surg Oncol 1995; 21(2):184.

(12) Fikamizu H, Inoue K, Matsumoto K, Okayama H, Moriguchi T. Metastatic squamous cell carcinoma derived from solar keratosis. J Dermatol Surg Oncol 1985; 11(5):518-22.

(13) Lebwohl M.Queratosis actínica. JAMA2016; 315(13):1394-95.

(14) Gilberto Y, Aguilar M, Almagro M, Correia O, Guillen C, Harto A, et al. Documento de consenso hispanoportugués para el uso de la terapia fotodinámica con metil aminolevulinato y luz de día en el tratamiento de las queratosis actínicas. Actas dermosifilográficas 2015; 106(8):623-631.

(15) Chen A, Martin A, Choy B, Fernández-Peñas P, Dalziell R, McKenzie C, et al. A phase 3 randomized trial of nicotiamide for skin-cancer chemoprevention. N Engl J Med 2015; 373(17):1618-26.

(16) Ianhez M, Froes L, Miot H, Bagatin E. Retinoides para a prevenção e tratamento das queratoses actínicas. An Bras Dermatol 2013; 88(4):585-93.

Published

2016-12-30

How to Cite

1.
Machado Méndez CI. Actinic keratosis: a case report. Salud Mil [Internet]. 2016 Dec. 30 [cited 2026 Apr. 27];35(2):38-44. Available from: https://www.revistasaludmilitar.uy/ojs/index.php/Rsm/article/view/150

Issue

Section

Case Reports

        PlumX Metrics