Data gathering
- Red flags – itching, bleeding, sun exposure
- Others
- Examine
Clinical management
- Investigations
- Explanation
- Treatment
- Lifestyle – suncream SPF >30, avoid direct sun
- Self screening
- Watchful waiting (if small) + emollient
- Efudix cream – nightly 4/52 – SE: redness/discomfort (can use topical steroid for this)
- Followup / Safety-net
https://gps.northcentrallondonccg.nhs.uk/pathways/adult-actinic-keratosis