Actinic keratosis

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Conkerit
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Joined: Thu Oct 06, 2016 3:29 pm
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by Conkerit on Tue Feb 18, 2020 10:01 am

Actinic keratosis

Hello

I have a small actinic keratosis on the bridge of my nose, an inch below the site of a basal cell carcinoma I had removed last year.

The doctor has prescribed diclofenac gel, which is not having any effect. What is the next step?

Many thanks!

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Dr Vishal Madan
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Joined: Thu Jul 11, 2019 10:45 am
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by Dr Vishal Madan on Thu Feb 20, 2020 5:38 pm

Re: Actinic keratosis

Hello

Thank you for the question. If its is indeed an actinic keratosis, other treatments such as efudix or imiquimod creams may be more effective than diclofenac gel.

Best wishes

Vishal
Dr. V Madan, M.B.B.S (Hons), M.D, FRCP, CCT Dermatology
President, British Medical Laser Association
Consultant Dermatologist and Clinical Director
Everything Skin Clinic
p: 01615091294
a: Suite B, Haw Bank House
Cheadle, SK8 1AL
w: www.everythingskin.co.uk e: info@everythingskin.co.uk
Dr Vishal Madan
Consultant Dermatologist - MBBS (Hons), MD, FRCP

http://www.talkhealthpartnership.com/on ... _madan.php

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Dr Kapil Bhargava
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Joined: Tue Jul 03, 2018 9:36 am
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by Dr Kapil Bhargava on Thu Feb 20, 2020 10:17 pm

Re: Actinic keratosis

Good evening,

Thank you for your question. Diclofenac gel can require upto 90 days of use to have optimal effect, however does not clear all lesions.

A single actinic keratosis can be treated with freezing (cryotherapy) or alternatively creams such as Efudix. Both are likely to be more effective at clearing the lesion compared to Diclofenac gel. Efudix is likely to cause a stronger skin reaction than Diclofenac gel.

It would be important to ensure that the diagnosis is correct.
Dr Kapil Bhargava MBBS, FRCP(UK), FRCP(Derm), CCT Derm
Consultant Dermatologist & Dermatologic and Mohs Surgeon
London, UK

http://www.talkhealthpartnership.com/on ... argava.php

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