02/05/2026
Actinic Keratoses: What These Rough Spots Mean for Your Skin
Actinic keratoses—often called AKs—are rough, scaly patches that develop after years of sun exposure. They’re commonly found on the face, scalp, ears, hands, and forearms, and many patients describe them as spots that are easier to feel than see.
Why actinic keratoses matter:
AKs are considered precancerous lesions. While many remain stable, some can progress into squamous cell carcinoma over time. They’re also a sign of cumulative sun damage, meaning new spots may continue to appear without proper monitoring and prevention.
Common features of actinic keratoses include:
▫️ Rough, sandpaper-like texture
▫️ Pink, red, or skin-colored patches
▫️ Mild tenderness, itching, or burning
▫️ Spots that don’t fully heal
When to see a dermatologist:
✔️ A rough or scaly spot that persists for weeks
✔️ Lesions that change, thicken, or become tender
✔️ Multiple areas of sun-damaged skin
✔️ A history of significant sun exposure or prior skin cancer
Dermatology evaluation is important because AKs can resemble other benign skin conditions—and treatment options vary based on location, number, and severity.
At Mid-County Dermatology, our board-certified dermatologists help patients throughout St. Louis and surrounding Missouri communities identify and manage actinic keratoses with a preventive, evidence-based approach.
Early evaluation allows for simpler treatment and greater peace of mind.