Actinic (Solar) Keratosis
AK should routinely be managed in primary care.
When to consider referral:
For consideration of Photodynamic Therapy (PDT)
- Multiple AK in high risk patients e.g. Previous SCC/organ transplant/immunosuppression
- Failure of or intolerant to topical therapy in patients with multiple AK/actinic field change/high risk patients
Topical treatments to trial in primary care:
- Actikerall – useful for low or moderately thick hyperkeratotic AK
A punch biopsy is not usually necessary but can be useful if there is a poor response to treatment/diagnostic uncertainty.