Actinic keratosis

What is actinic keratosis?

Actinic keratosis (also called solar keratosis) is caused by long-term exposure of skin to ultraviolet rays in sunlight. It is a very common in light-skinned people particularly over the age of 50.

It appears as single or multiple skin patches which are red in colour, rough and scaly. It is common on the areas of the skin which are usually exposed to the sun such as face, ears, scalp, back of hands and lower leg. However, it can occur on any part of the body.

Actinic keratosis is not a skin cancer but in a small number of cases it can develop into one if left untreated.

Various treatment options are available, such as creams (topical chemotherapy), freezing (cryotherapy), surgery or exposure to special light (photodynamic therapy). Your doctor will advise which of these is suitable for you. Once the lesion is properly treated it rarely comes back. However, there is an increased chance of developing new lesions and for that reason you must:

  • Examine your skin regularly and seek medical advice for any lesion that does not heal in 6 weeks.
  • Protect your skin from ultraviolet radiation in strong sunlight:
    • Avoid excessive exposure to the sun.
    • Cover up with loose fitting but closely woven clothes.
    • Wear a wide-brimmed hat and protective sunglasses.
    • Use a high SPF sunscreen (50 or more) and choose one that protects against UVB, has
      the UVA circle logo, and/or is 4 or 5 stars. Apply plenty of sunscreen 15 to 30 minutes
      before going out in the sun, and reapply every 2 hours and straight after swimming and
      towel-drying.
    • Avoid sunbeds.

Contacts

If you have any concerns or questions, call clinical nurse specialists on 0161 918 7587.

Further information

  • Macmillan Cancer Support has information on all aspects of cancer. Lines answered by specialist nurses.
    Freephone 0808 808 0000, open 8am to 8pm, 7 days a week macmillan.org.uk
  • British Association of Plastic, Reconstructive and Aesthetic Surgeons bapras.org.uk

Last updated: April 2026