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Background: Actinic keratoses are premalignant lesions that can progress to squamous cell carcinoma and are characterized by a proliferation of atypical keratinocytes. They are erythematous scaly papules that are found mainly in areas exposed to the sun. It is frequent in the consult.
Objective: To collect information about the treatment of actinic keratoses in the last four years, in order to offer it in an orderly and synthesized way to every student and primary or secondary care physician who is interested in this subject.
Diagnosis: It can be done through a clinical examination or histopathology, but there are also other options available in specialized dermatology centers.
Treatment: It varies depending on the patient’s preferences and comorbidities; the type of lesion, if it is isolated or is a field, the degree, its location, the number of the lesions and previous treatments. In general, we can divide them in two groups: treatments for isolated lesions, such as cryotherapy, electrosurgery, curettage; and cancer-related treatments, such as 5-fluorouracil, photodynamic therapy, imiquimod, diclofenac and ingenol mebutate.
Conclusion: At the time of treating these lesions we have several options. By recognizing the best option of treatment for our patient and its correct use, we will obtain better results and fewer recurrences.
