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The nonpigmented actinic keratosis affecting the facial area exhibits a distinct "strawberry-like" pattern upon dermoscopic examination. The periphery of this lesion is typically well-defined, though it may blend into the neighboring skin due to the extensive sun exposure many patients have experienced. Additional characteristics can comprise: A pink hue with a lack of distinct texture in the background.
Seborrheic keratosis represents a category of benign skin proliferations or tumors, devoid of malignant characteristics. These growths often progress gradually and are commonly elevated, exhibiting a texture that may be somewhat coarse in some instances.
Initially, the doctor will anesthetize the targeted region and subsequently employ a surgical knife to excise the abnormal growth. In certain cases, shaving or scraping techniques may be combined with cryosurgery to address thinner or flattened growths. Alternatively, the utilization of an electric current for burning, known as electrocautery, is another approach. Initially, the doctor will anesthetize the area, followed by the application of electrocautery to eradicate the growth.
What are the Approaches to Managing Seborrheic Keratosis?
Cryotherapy Involvement – Applying liquid nitrogen for therapeutic chilling, we can effectively immobilize the growths, prompting their natural detachment within a brief period.
Electrosurgical Technique – Leveraging an electrical flow, the growths can be fragmented and treated.
Additional Methods...•
Acidic solutions such as salicylic or lactic acid: These formulations are capable of softening rough, dehydrated, and hardened skin layers, assisting in the breakdown of seborrheic keratoses. They can be easily procured over-the-counter or via online platforms, negating the need for a doctor's prescription.
The color spectrum varies significantly, encompassing hues from a pale tan to a deep black. Initially, it may draw attention due to its soft and velvety texture, appearing both visually and tactilely smooth, and sometimes in miniature sizes. However, as time progresses, seborrheic keratoses undergo a transformation, becoming scaly and acquiring a thickness reminiscent of melted candle wax adhering to the skin's surface.
Ointments formulated with bioactive vitamin D3 are commonly employed in the management of inflammatory skin conditions characterized by keratinization, including psoriasis. Additionally, senile warts or seborrheic keratoses, which are non-malignant growths, predominantly affect individuals in advanced age groups.
The likelihood of seborrheic keratoses arising from HPV or any other viral entity is remote, and they do not pose a contagious threat.
Considerations in Diagnostic Evaluation
When assessing the differential diagnosis of seborrheic keratoses clinically, it encompasses a range of possibilities such as malignant melanoma, melanocytic nevi, common warts (verruca vulgaris), acuminate condyloma, fibroepithelial polyps, epidermal nevi, actinic keratoses, as well as pigmented basal and squamous cell carcinomas. Updated on Oct 14, 2020.
