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American Academy of Dermatology President Murad Alam, MD, MSCI, MBA, FAAD
Letter to the editor originally submitted to the New York Times on May 4, 2026
ROSEMONT, Ill. (May 4, 2026) — 3 Medical Routines that Older People May Not Need, by Paula Span, imprudently suggests that patients should not receive treatment for certain conditions, including actinic keratoses (AKs). AKs are precancerous skin growths that can become squamous cell carcinoma (SCC), which can cause pain, disfigurement, sensory loss, and, in some cases, death. The reality is that several thousand Americans die of advanced SCC of the skin every year. It is impossible to predict which AKs will become SCCs, and most people with AKs have not just one but many, magnifying their risk of developing a serious SCC. Patients should be encouraged to receive prompt treatment for AKs so that these do not develop into SCCs, which require more intensive and invasive treatments. Advising people to avoid treatment and just watch AKs is irresponsible, does not reduce the need to continually see dermatologists, creates needless worry for patients, and increases patients' risk for developing cancer that could easily have been avoided.
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Shelby Homiston, shomiston@aad.org
Nia Carter, ncarter@aad.org
Headquartered in Rosemont, Ill., the American Academy of Dermatology, founded in 1938, is the largest, most influential and most representative of all dermatologic associations. With a membership of more than 21,500 physicians worldwide, the AAD is committed to advancing the diagnosis and medical, surgical, and cosmetic treatment of the skin, hair, and nails; advocating high standards in clinical practice, education and research in dermatology; and supporting and enhancing patient care because skin, hair, and nail conditions can have a serious impact on your health and well-being. For more information, contact the AAD at (888) 462-DERM (3376) or aad.org. Follow @AADskin on Facebook, Pinterest, and YouTube and @AADskin1 on Instagram.