Update on Seborrheic Keratosis: Optimizing Patient Outcomes
Seborrheic keratosis (SK) is a common benign lesion, usually round or oval, ranging from light tan to dark brown. SK lesions affect 1 out of 5 Americans, particularly those older than 50 years. Clinicians must accurately diagnose SK lesions before removing them. SK lesions are be- nign and can be removed for cosmetic reasons if the patient desires; treatment may be indicated—and reimbursable—if the lesion is irritated. In the case of suspicious lesions, clinicians should perform a shave biopsy to ensure that they are not premalignant or malignant tumors. Choice of treatment is based on the number of lesions, location on the body, skin pigmentation, thickness of the lesion, and overall esthetic considerations. Cryosurgery is the method preferred by most physicians for removing these lesions; other methods include curettage, electrosurgery, lasers, and a combination of modalities. Emerging topical therapies may provide effective lesion removal without the adverse effects seen with cryotherapy, lasers, or other standard modalities.
Some 83 million Americans—approximately 20% to 25% of the population—are affected by SK.1,2 These benign lesions are usually seen in people older than 50 years.2 SK lesions are equally distributed among men and women, although a recent survey of patients with SK found a slightly higher rate among men.2 Furthermore, SK is thought to be more prevalent in Caucasians, but a variant form known as dermatosis papulosa nigra can affect people with Fitzpatrick skin type VI (Table 1).3,4
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Physicians: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Louisville and Global Academy for Medical Education, LLC. The University of Louisville is accredited by the ACCME to provide continuing medical education for physicians. The University of Louisville Office of CME & PD designates this enduring material for a maximum of 1 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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Brian Berman, MD, PhD
Christopher B. Zachary, MBBS, FRCP
Seborrheic keratosis (SK) is a common and benign skin lesion that affects more than 80 million Americans. Medical intervention is not required unless the diagnosis is uncertain and a biopsy is indicated, or unless the SKs are symptomatic (pruritus, irritation, or bleeding). Still, many patients seek medical advice because of cosmetic issues or concerns about the possibly malignant nature of the lesions. Current treatment modalities involve tissue destruction, which poses a risk for scarring, hyper- or hypopigmentation, or other unwanted sequelae. Future treatments may offer a topical approach that reduces the risk of unacceptable outcomes. Clinicians should be able to diagnose SK accurately and efficiently, and should be aware of current and emerging treatment strategies.
By reading and studying this supplement, participants should be better able to:
- Differentiate seborrheic keratosis (SK) from other skin lesions
- Describecurrentandemergingtreatmentoptions for SK
- Matchpatientswiththemostappropriateinterventions for effective removal of SKs, including those in cosmetically sensitive areas, such as the face and neck
Individuals in a position to control the content of this educational activity are required to disclose: 1) the existence of any relevant fi- nancial relationship with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients with the exemption of non-profit or government organizations and non-health care related companies, within the past 12 months; and 2) the identification of a commer- cial product/device that is unlabeled for use or an investigational use of a product/device not yet approved.
Brian Berman, MD, PhD
Consultant: Aclaris Therapeutics, Inc.
Christopher B. Zachary, MBBS, FRCP, has no relevant financial relationships to disclose.
Staff and Advisory Board Disclosures: The University of Louisville CME & PD Advisory Board and office staff have nothing to disclose.
CME/CE Reviewers: Cindy England Owen, MD, Assistant Professor, Division of Dermatology, University of Louisville School of Medicine, has no relevant financial relationships to disclose. The PIM planners and managers, Trace Hutchison, PharmD; Samantha Mattiucci, PharmD, CHCP; Judi Smelker-Mitchek, MBA, MSN, RN; and Jan Schultz, MSN, RN, CHCP, have no relevant financial relationships to disclose.
Global Academy for Medical Education Staff: Suzanne Bujara; Sylvia H. Reitman, MBA, DipEd; Ron Schaumburg; and Shirley Jones, MBA, have no relevant financial relationships to disclose.
This CME/CE supplement was developed from interviews with the faculty. Dr Berman and Dr Zachary acknowledge the editorial assistance of Global Academy for Medical Education and Suzanne Bujara, medical writer, in the develop- ment of this supplement. Neither the editors of Dermatology News nor the Editorial Advisory Board nor the reporting staff contributed to its content. The ideas and opinions expressed in this supplement are those of the faculty and do not necessarily reflect the views of the supporter, Global Academy for Medical Educa- tion, the University of Louisville, Postgraduate Institute for Medicine, or the Publisher.
Copyright © 2017 Global Academy for Medical Education, LLC, and Frontline Medical Com- munications. All rights reserved. No part of this publication may be reproduced or trans- mitted in any form, by any means without prior written permission of the Publisher.
Global Academy for Medical Education, LLC, Frontline Medical Communications, The University of Louisville, and Postgraduate Institute for Medicine will not assume responsibility for damages, loss, or claims of any kind arising from or related to the information contained in this publication, including claims related to the products, drugs, or services mentioned herein.
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