What are the causes and treatment options for acral keratoses?

Symptom Database

Acral keratoses, also known as seborrheic keratoses, are common skin conditions that can cause concern due to their appearance. These skin growths are typically benign and do not pose any serious health risks. However, they can be bothersome and may require treatment for cosmetic reasons. In this article, we will explore the causes of acral keratoses and discuss various treatment options available.

Understanding Acral Keratoses

Acral keratoses are non-cancerous skin lesions that commonly appear in middle-aged and older individuals. They are characterized by raised, waxy, and scaly growths on the skin. These growths can vary in color, ranging from tan to dark brown or black. Acral keratoses can develop on any part of the body, but they are most commonly found on the face, neck, chest, back, and extremities.

Possible Causes of Acral Keratoses

The exact cause of acral keratoses is still unknown. However, several factors may contribute to their development:

  • Genetics: There is evidence to suggest that certain genetic factors may predispose individuals to develop acral keratoses.
  • Sun exposure: Chronic sun exposure over the years can increase the risk of developing these skin growths.
  • Aging: Acral keratoses are more common in older individuals, suggesting that age may play a role in their development.
  • Hormonal changes: Fluctuations in hormone levels, such as during pregnancy or menopause, may trigger the appearance of acral keratoses.

Treatment Options for Acral Keratoses

While acral keratoses are generally harmless, many individuals seek treatment to improve their skin’s appearance. There are several treatment options available, depending on the size, location, and number of growths:

Topical Medications

Topical medications can be prescribed to help reduce the appearance of acral keratoses. These medications typically contain ingredients such as retinoids, salicylic acid, or alpha-hydroxy acids. They work by exfoliating the skin and promoting the growth of new, healthy skin cells. It is important to follow the instructions provided by a dermatologist when using these medications to avoid any potential side effects.

Cryotherapy

Cryotherapy involves freezing the acral keratoses with liquid nitrogen. This treatment option is commonly used for smaller growths. The freezing process destroys the abnormal cells, allowing new skin to grow in their place. Multiple sessions may be required to achieve the desired results.

Curettage

Curettage is a procedure that involves scraping off the acral keratoses using a sharp instrument called a curette. After the growths are removed, the area is typically cauterized to prevent bleeding. This treatment option is often used for larger or thicker growths.

Electrocautery

Electrocautery is a procedure that uses an electric current to burn off the acral keratoses. This treatment option is effective for smaller growths and can be performed in a dermatologist’s office. Local anesthesia may be used to minimize discomfort during the procedure.

Laser Therapy

Laser therapy involves using a focused beam of light to target and destroy the acral keratoses. This treatment option is often used for larger or darker growths. Laser therapy can be precise and may result in minimal scarring.

Skin Care Tips for Acral Keratoses

In addition to seeking medical treatment, there are several steps individuals can take to care for their skin and minimize the appearance of acral keratoses:

  • Protect your skin from the sun: Since sun exposure can contribute to the development of acral keratoses, it is important to protect your skin by wearing sunscreen, protective clothing, and seeking shade when the sun is strongest.
  • Maintain a healthy skincare routine: Regularly cleanse and moisturize your skin to keep it hydrated and healthy. Avoid harsh soaps or cleansers that can irritate the skin.
  • Avoid picking or scratching the growths: Picking or scratching at acral keratoses can lead to infection or scarring. It is best to leave them alone or seek professional treatment.
  • Monitor your skin: Keep an eye on any changes in the appearance of the growths or the development of new ones. If you notice any concerning changes, consult a dermatologist.

In conclusion, acral keratoses are common skin growths that can be treated for cosmetic reasons. While the exact cause of these growths is unknown, factors such as genetics, sun exposure, aging, and hormonal changes may contribute to their development. Treatment options include topical medications, cryotherapy, curettage, electrocautery, and laser therapy. It is important to consult a dermatologist to determine the most suitable treatment approach. Additionally, practicing good skin care habits and protecting the skin from sun damage can help minimize the appearance of acral keratoses.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA