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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/124260
A Novel Actinic Keratosis Field Assessment Scale For Grading Actinic Keratosis Disease Severity
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Actinic keratosis (AK) lesions are surrounded by field cancerization (areas of subclinical, non-visible sun damage). Existing AK grading tools rely on AK counts, which are not reproducible. An Actinic Keratosis Field Assessment Scale (AK-FAS) for grading the severity of AK/field was developed. Standardized photographs of patients representing the full range of AK severity were collected. Six investigators independently rated each photograph according to 3 criteria: AK area (total skin area affected by AK lesions), hyperkeratosis and sun damage. Inter-rater reproducibility was good for all 3 criteria. Validation of the AK-FAS showed good reproducibility for AK area and hyperkeratosis, even for dermatologists untrained on use of the scale. In conclusion, the AK-FAS is objective, easy to use and implement, and reproducible. It incorporates assessment of the entire field affected by AK instead of relying on lesion counts. Use of the AK-FAS may standardize AK diagnosis, making it relevant to routine clinical practice.
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DRENO, Brigitte, CERIO, Rino, DIRSCHKA, Thomas, FIGUERAS NART, Ignasi, LEAR, John t., PERIS, Ketty, RUIZ DE CASAS, Andrés, KALECI, Shaniko, PELLACANI, Giovanni, Progressing Evidence in AK (PEAK) Working Group. A Novel Actinic Keratosis Field Assessment Scale For Grading Actinic Keratosis Disease Severity. _Acta Dermato-Venereologica_. 2017. Vol. 97, núm. 9, pàgs. 1108-1113. [consulta: 15 de gener de 2026]. [Disponible a: https://hdl.handle.net/2445/124260]