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Clinical Pearls

Clinical Classifications and Treatment Approaches for Actinic Keratosis

In this video, Dr Lain explains the Olsen scale for grading actinic keratosis (AK), distinguishing between mild, moderate, and hyperkeratotic lesions, with a focus on their treatment and differentiation from squamous cell carcinoma in situ. He emphasizes the importance of adequate cryotherapy duration, highlighting that achieving a white cone for over 20 seconds significantly improves clearance rates, despite concerns about discomfort, depigmentation, and scarring.

Ted Lain, MD is a board-certified dermatologist and Chief Medical Officer of Sanova Dermatology specializing in diagnosis and treatment of disorders of the hair, skin and nails.

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