Pronounced: seb-ō-rē'ik ker-ă-tō'sis
Seborrheic keratosis is the presence of a benign (noncancerous) raised growth on the skin. Seborrheic means greasy (although often the growth is not greasy) and keratosis means thickening of skin. The growths arise from the top layer of skin and can have a ‘stuck-on’ look. These growths may look like warts but don’t extend deep into the skin or contain the viruses that cause warts.
Seborrheic keratoses are not contagious, do not spread, and will never turn into cancerous tumors. Therefore, they do not threaten your health, but can be irritating or cosmetically displeasing.
The direct cause of seborrheic keratoses is unknown. However, they are not caused by exposure to sunlight. In addition, they appear after the age of 40 and are hereditary.
A risk factor is something that increases your chance of getting a disease or condition.
Risk factors for developing seborrheic keratoses, include age over 40 and close family members with the condition.
Since some seborrheic keratoses appear dark, they may be difficult to distinguish from pigmented growths that are prone to becoming cancerous. Therefore, it is very important that you have a doctor check and ensure that they are seborrheic keratoses. Doctors can usually make an accurate diagnosis upon examination of the skin growth, but a biopsy can be done to make sure in uncertain cases.
Talk with your doctor about the best treatment plan for you. Because seborrheic keratoses do not pose a threat to your health, the best course of action may be to leave them alone. However, if they itch or become irritated, or if you feel they affect your appearance, they can be removed.
Treatment options include:
Alpha-hydroxy lotions or mild steroid creams help with itching and irritation, but do not remove the lesion.
Liquid nitrogen is used to freeze and destroy the cells of the seborrheic keratosis but leave the underlying connective tissue intact. This procedure leaves a crust that falls off after several days. There might be a flat scar or lighter colored skin.
Your doctor can use a scalpel or razor to cut the growth off leaving a little scarring.
The growths can be burned off with a laser (rarely necessary).
Academy of Dermatology
Canadian Dermatology Association
American Academy of Dermatology website. Available at: http://www.aad.org/public/publications/pamphlets/common_seb_keratoses.html . Accessed January 24, 2008.
American Osteopathic College of Dermatology website. Available at: www.aocd.org/skin/dermatologic_diseases/seborrhiec_keraotos.html . Accessed August 22, 2005.
National Library of Medicine and the National Institutes of Health website. Available at: http://www.nlm.hih.gov/medlineplus/encyclopedia . Accessed August 22, 2005.
Last reviewed November 2008 by Ross Zeltser, MD, FAAD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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