Actinic Keratosis - Treatment

Treatment

Various modalities are employed in the treatment of actinic keratosis:

  • Ingenol mebutate 0.05% and 0.015% gel for treatment of the trunk and extremities or the face and scalp, respectively. Duration of therapy is 2 days for the 0.05% gel and 3 days for the 0.015% gel
  • Diclofenac sodium 3% gel, a nonsteroidal anti-inflammatory drug, Recommended duration of therapy is 60 to 90 days
  • Cryosurgery, e.g. with liquid nitrogen, by "freezing off" the actinic keratosis
  • 5-fluorouracil (a chemotherapy agent): a cream that contains this medication causes actinic keratosis to become red and inflamed before they fall off
  • Photodynamic therapy: this new therapy involves injecting a chemical into the bloodstream, which makes the lesions more sensitive to any form of light.
  • Laser, notably CO2 and Er:YAG lasers, a Laser resurfacing technique is often used with diffuse actinic keratosis
  • Electrocautery: burning off actinic keratosis with electricity
  • Imiquimod (Aldara), an immune enhancing agent for topical treatment
  • Different forms of surgery

Regular follow-up after the treatment is advised by many physicians. The regular checks are to make sure no new lesions have developed and that old ones haven't become thicker.

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