The skin lesions of actinic keratosis start out as flat, scaly, red patches. These patches are seen on areas of the skin that are exposed to the sun. They are dry, horny, and rough. The lesions are often felt more easily than they are seen. Sometimes the lesions may be tender or cause itching.
The lesions grow slowly and range from 1/8 to 1/4 inch in diameter. They may go away and return at a later time. Over time, the lesions may change to wartlike white, hard crusts. Common locations for the lesions include: