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Reliability of solar keratosis clinical diagnosis: A prospective study.

Australas J Dermatol. 2014 Mar 17;

Authors: Buinauskaite E, Makstiene J, Buinauskiene J, Valiukeviciene S

Abstract
Usually solar keratoses (SK) are diagnosed clinically. However other diseases may clinically present as erythematous macules, papules or patches on sun-exposed areas; therefore the histopathology remains the gold standard diagnostic tool. Our study, which assessed the efficacy of photodynamic therapy (PDT), showed that one in 20 clinically diagnosed SK lesions grade I-II identified by board-certified dermatologists were rosacea and only one in 40 were malignant lesions. These findings should be considered by clinicians who treat clinically diagnosed grade I-II SK without response to treatment or diagnose the recurrence of SK after PDT.

PMID: 24635483 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/24635483?dopt=Abstract = URL to article