Seborrheic keratosis is a type of non-cancerous growth on the top layer of skin. These growths may look like warts.
Seborrheic keratoses are not contagious, do not spread, or do not turn into cancerous tumors. In most cases, treatment is not required.
The direct cause of seborrheic keratosis is unknown, but it may be linked to genetics.
Seborrheic keratosis is more common in people aged 40 years and older and in those with a family history.
Seborrheic keratosis are thick growths that may: Look yellow, tan, brown, white, or blackBe waxy or look like wartsBe round, flat, or oval in shapeBe itchy when irritated by clothing or jewelryAppear anywhere on the skin
Some people have one lesion, but it is more common to have many.
It may be hard to detect the difference between seborrheic keratosis and melanoma, a potentially fatal skin cancer. It is important to see your doctor anytime new or changing skin lesions are noticed.
Your doctor will ask about your symptoms and medical history. A physical exam will be done. Your doctor can usually make a diagnosis upon examination of the skin growth. You may need further testing, such as a skin biopsy, to rule out other skin conditions.
Punch Biopsy of the Skin
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Talk with your doctor about the best treatment plan for you. Seborrheic keratoses do not pose a threat to your health. The best course of action may be to leave them alone. If they itch or become irritated, or if you feel they affect your appearance, they can be removed.
Treatment options include:
If you have irritated seborrheic keratoses, your doctor may recommend topical corticosteroids.
In some cases, you and your doctor may decide to remove the seborrheic keratoses. Surgical options include: Freezing the growth, which falls off a few days laterRemoval with a razor or scalpelLaser surgery to burn the growth off
There are no current guidelines to prevent seborrheic keratosis.
Seborrheic keratosis. American Academy of Dermatology website. Available at:
http://www.aad.org/dermatology-a-to-z/diseases-and-treatments/q---t/seborrheic-keratoses. Accessed September 2, 2015.
American Osteopathic College of Dermatology website. Available at:
http://www.aocd.org/?page=SeborrheicKeratoses. Accessed September 2, 2015.
Last reviewed September 2016 by Michael Woods, MD, FAAP
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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