Actinic keratosis - review for clinical practice.

Author: GaladariHassan, IlhaCarolina S de O, LeonardiGislaine R, MagalhãesRenata F, PantojaPaola C, da MottaValéria R V, de OliveiraErika C V

Paper Details 
Original Abstract of the Article :
Actinic keratosis (AK) is a lesion that arises as a result of excessive exposure to solar radiation and appearing predominantly on Fitzpatrick phototype I and II skin. Given that some AKs evolve into squamous cell carcinoma, these lesions are considered premalignant in nature, occurring mostly in el...See full text at original site
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引用元:
https://doi.org/10.1111/ijd.14147

データ提供:米国国立医学図書館(NLM)

Navigating Actinic Keratosis: A Guide for Clinicians

[Actinic keratosis (AK)] is a common [precancerous skin lesion] caused by excessive [sun exposure]. This review provides a comprehensive overview of [AK], covering its [clinical presentation, pathogenesis, and treatment options]. The authors highlight the importance of early detection and treatment, emphasizing that [AK] has the potential to evolve into [squamous cell carcinoma].

Understanding the Mechanisms of Actinic Keratosis

The review discusses the various [mechanisms] involved in the development of [AK], including [oxidative stress, immunosuppression, inflammation, altered proliferation and dysregulation of cell growth, impaired apoptosis, mutagenesis, and human papillomavirus (HPV)]. These mechanisms are like a complex web of factors that contribute to the formation of this precancerous lesion, and understanding them is crucial for developing effective treatment strategies. It's like uncovering a hidden spring in the desert that provides vital nutrients for the surrounding ecosystem, but also understanding the delicate balance of the ecosystem to ensure its sustainability.

A Diverse Toolkit for Treating Actinic Keratosis

The review presents a wide range of [treatment options] for [AK], including [5-fluorouracil (5-FU), cryotherapy, diclofenac, photodynamic therapy (PDT), imiquimod (IQ), retinoids, and ingenol mebutate (IM)]. Additionally, the authors discuss the emergence of newer agents such as [resiquimod, betulinic acid, piroxicam, and dobesilate], as well as the potential benefits of combining different therapies. This is like finding a hidden spring in the desert that provides a source of life-giving water, but also recognizing that different methods of irrigation and distribution may be necessary to ensure that the entire oasis benefits.

Dr.Camel's Conclusion

This comprehensive review provides a valuable resource for clinicians navigating the diagnosis and treatment of [actinic keratosis (AK)]. The authors emphasize the importance of early detection and treatment, highlighting the diverse range of available therapies. It's like finding a hidden spring in the desert that provides a source of life-giving water, but also recognizing the importance of careful management and conservation to ensure the sustainability of the oasis.

Date :
  1. Date Completed 2019-06-28
  2. Date Revised 2019-06-28
Further Info :

Pubmed ID

30070357

DOI: Digital Object Identifier

10.1111/ijd.14147

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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