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Pre- and post-treatment care for actinic keratoses: An Australian and New Zealand perspective
John O'Bryen1, Solange Green2, A J Seine3
1BSc, MBBS, FRACGP, FARGP, DipDerm, General Practitioner, Sunshine Coast University Hospital, Caloundra, Qld.
Background:
Actinic keratoses (AKs), also known as solar keratoses, are precancerous skin lesions that typically occur following long-term exposure to ultraviolet radiation. AKs can evolve into cutaneous squamous cell carcinoma (SCC) if left untreated. Treatments for AKs typically cause temporary, irritable erythematous skin barrier disruption.
Objective:
The objective of this article is to provide recommendations for the pre-treatment and post-treatment care for AKs in order to improve patient outcomes, particularly in the Australian and New Zealand setting.
Discussion:
Many of the treatments for AKs have associated side effects that might affect skin barrier function. Post-treatment care is required to aid skin repair and to protect the skin. Patients should be instructed on how to care for the skin during the healing process using a gentle skin cleanser and a moisturiser. Routine sun protection measures all year round reduce recurrence and progression of AKs.
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