Actinic Keratosis- the Link to Skin Cancer!

Have you noticed some rough, scaly patches on your skin? These spots could be actinic keratosis (AK), also known as solar keratosis. It's one of the most frequent skin issues dermatologists see, especially in sunny areas like ours. Actinic keratosis develops from long-term exposure to ultraviolet (UV) rays from the sun or tanning beds. The damage builds up over time, causing abnormal changes in the skin's top layers. 

These lesions often appear as small, dry, scaly bumps that can feel like sandpaper, especially on the body. They typically show up on sun-exposed areas: the face, ears, scalp (especially if hair is thinning), neck, backs of hands, forearms, and even the lips.In places with plenty of sunshine—like much of Tennessee—AK is particularly widespread. Fair-skinned individuals, older adults, and those with a history of frequent sun exposure are at higher risk. While not every actinic keratosis turns into cancer, a significant number can progress, if untreated, to squamous cell carcinoma (SCC), a type of skin cancer. Catching and treating these spots early prevents that progression and keeps things simple.

What Does Actinic Keratosis Look and Feel Like? Common signs include:

• Rough, scaly patches that might be pink, red, brown, or flesh-colored
• Small growths that can be flat or slightly raised
• Areas that sting, burn, itch, or feel tender
• Spots that come and go but keep returning

Many people have multiple lesions, and they often go unnoticed at first because they can blend in or feel minor. A professional skin check makes all the difference. Treatment Options for Actinic Keratosis.  The good news is that actinic keratosis responds well to treatment, especially when addressed promptly. Options vary based on the number, size, location, and overall health of the patient. Common approaches include:

• Cryotherapy (liquid nitrogen freezing): A quick, in-office method to destroy the abnormal cells. It's effective for isolated lesions and requires little downtime.
• Topical medications: Creams or gels applied at home, such as 5-fluorouracil (Efudex or Carac), imiquimod (Aldara), or diclofenac (Solaraze). These target precancerous cells over weeks.
• Photodynamic therapy (PDT): A light-activated treatment where a photosensitizing agent is applied, then activated with light to eliminate AK cells.
• Chemical peels or laser therapy: For widespread areas or when other methods aren't ideal.
• Curettage or other procedures: For thicker or stubborn spots.

Most treatments are straightforward, with minimal discomfort, and aim to remove the precancerous cells while preserving healthy skin.

Why Choose Nashville Dermatology Physicians for Your Skin Health?

When it comes to diagnosing and treating actinic keratosis in the Nashville area, Nashville Dermatology Physicians stands out as a trusted, locally owned practice. Founded by board-certified dermatologist, Dr. Jeffrey Berti and Dr. Toula Berti, both Mayo Clinic-trained with over 40 years of combined experience, the practice focuses on genuine, personalized care rather than a rushed, corporate feel. Dr. Jeffrey Berti and Dr. Toula Berti offer comprehensive expertise in medical, surgical, and cosmetic dermatology for patients of all ages. They take the time to evaluate each case thoroughly, explain options clearly, and tailor treatment to your specific needs—whether it's a single spot or widespread sun damage from years in the Tennessee climate. The practice proudly serves the Greater Nashville community and surrounding areas, including Brentwood, Franklin, Nolensville, Green Hills, Forest Hills, Goodlettsville, Clarksville, and beyond. Patients appreciate the convenient location and the warm, attentive approach that makes skin care feel approachable.

Nashville Dermatology Physicians is located at:

1001 Health Park Drive, Suite 470

Brentwood, TN 37027

 (615) 212-2517