SPREADING PIGMENTED ACTINIC KERATOSIS

Spreading Pigmented Actinic Keratosis--SPAK


The spreading pigmented actinic keratoisis (SPAK) is a larger and darker variant of the classic actinic keratosis.

Clinical

Actinic keratoses may take on varying degrees of pigmentation. The SPAK is dark brown and may have a fine reticulated pattern. It occurs most commonly on the face and scalp in patients who get lots of sun and don't wear sunscreen. Occasionally a biopsy is necessary to distinguish from melanoma.

Treatment

All the usual treatment modalities for AK are appropriate. See actinic keratosis.

Additional Pictures

Spreading Pigmented Actinic Keratosis--SPAK Spreading Pigmented Actinic Keratosis--SPAK

Spreading Pigmented Actinic Keratosis--SPAK

Rarely are SPAKs this dark, here on the scalp.
Spreading Pigmented Actinic Keratosis--SPAK Spreading Pigmented Actinic Keratosis--SPAK

Spreading Pigmented Actinic Keratosis--SPAK Spreading Pigmented Actinic Keratosis--SPAK


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