title: Reliability of solar keratosis clinical diagnosis: A prospective study.
abstract: Usually solar keratoses (SK) are diagnosed clinically. However other diseases may clinically present as erythematous macules, papules or patches on sun-exposed areas; therefore the histopathology remains the gold standard diagnostic tool. Our study, which assessed the efficacy of photodynamic therapy (PDT), showed that one in 20 clinically diagnosed SK lesions grade I-II identified by board-certified dermatologists were rosacea and only one in 40 were malignant lesions. These findings should be considered by clinicians who treat clinically diagnosed grade I-II SK without response to treatment or diagnose the recurrence of SK after PDT.
authors.affiliation: Department of Skin and Venereal Diseases, Lithuanian University of Health Sciences, Medical Academy, Kaunas, Lithuania.
authors.forename: Evelina
authors.initials: E
authors.lastname: Buinauskaite
authors.forename: Jurgita
authors.initials: J
authors.lastname: Makstiene
authors.forename: Jurate
authors.initials: J
authors.lastname: Buinauskiene
authors.forename: Skaidra
authors.initials: S
authors.lastname: Valiukeviciene
mesh_terms: D003951:Diagnostic Errors; D006801:Humans; D055623:Keratosis, Actinic / Q000175:diagnosis* / Q000188:drug therapy* / Q000473:pathology; D008875:Middle Aged; D010778:Photochemotherapy; D011446:Prospective Studies; D012393:Rosacea / Q000473:pathology; D012878:Skin Neoplasms / Q000473:pathology*
keywords: clinic; histopathology; solar keratosis