Can the lesions induced with actinic keratosis become an enigma for dermatologists? Results of an open perspective study

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Different face skin diseases (basal cell carcinoma, actinic keratosis, rosacea, solar elastosis, etc.) could clinically manifest itself as erythematic patches, pimples or plagues. It is very hard to make the clinical exclusion in some cases of these diseases since their characters can partially overlap or certain lesion can mimic another one especially in the cases of skin areas affected with sun. Therefore, the histopathological analysis remains the “golden standard” of the dermatological diagnosis at skin diseases. Our study has shown that certified dermatologists detect actinic keratosis (AK) of face/head skin of I/II levels very well. Verdicts of dermatologists and pathomorfologists are congruent on account of diagnosis in 90,7% cases. Diseases clinically excluded as AK revealed as malignant neoplasms (basal cell carcinoma) in less than 1% of case lesions.

About the authors

E. . Bujnauskajte

University of Latvia

Author for correspondence.
Russian Federation

S. . Rubins

University of Latvia

Russian Federation

A. . Rubins

University of Latvia

Russian Federation

Y. . Makstiene

Hospital of Lithuanian University of Health Sciences Kauno Klinikos

Russian Federation

Y. . Bujnauskiene

Medical Academy, Lithuanian University of Health Sciences

Russian Federation


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