The term actinic keratosis (AK) describes a sun-induced, clinical erythematous lesion covered with scale, but does not provide an understanding of the biology or histopathology of the lesion. Consequently, several classification systems for AK have been suggested, but as yet no consensus has been reached. These systems strive to correlate the pathological and clinical features to better provide physicians with the most accurate information to enable correct decisions to be made regarding treatments, Prognosis and metastatic potential. AK is a clinical description that has a histological diagnosis consistent with squamous cell carcinoma (SCC) in situ. We recommend an AK classification system that describes these lesions as squamous cell carcinomas (SCCs), using the terminology 'early in situ SCC Type AK I', 'early in situ SCC type AK II' and 'in situ SCC Type AK III', there by giving clinicians better guidance for diagnosis and specific treatment recommendations.

Regular use of sunscreens, as part of a consequent UV-protection strategy, may prevent the development of further AK and invasive SCC and, to a lesser degree, BCC in immune-compromised organ transplant recipients.

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Solvent effects on the spectroscopic properties of lumichromes and lumiflavins are presented. Fluorescence yields for lumiflavins are an order of magnitude larger than those for lumichromes, due to their lower nonradiative rate constants. Solvent effects on the absorption and emission band positions are explained on the basis of hydrogen-bonding interactions. TD-DFT calculations predicted that the lowest energy states are n,π* in the case of lumichromes, but π,π* in the case of the lumiflavins. The overall consistency of the predicted singlet-singlet and triplet-triplet transitions obtained for the various compounds studied, and the good correspondence between the predicted and measured transitions, indicate that the techniques applied provide an accurate description of the spectral properties of lumiflavins and lumichromes. The measured singlet oxygen yields have shown the lumichromes to be efficient singlet oxygen sensitizers.