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Actinic keratoses typically occur on the face, lips, ears, bald scalp, shoulders, neck and back of the hands and forearms. Symptoms of actinic cheilitis, a variant of AK that appears on the lower lip, may include chapping, cracks and whitish discoloration. Examples of typical actinic keratoses are shown here, so examine your skin regularly for lesions that look like them. Lower lip with protruding sore, white patches and cracks with dried blood, a possible mix of actinic cheilitis and skin cancer.