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"This is the peer reviewed version of the following article: O'Shaughnessy, R. (2019), Understanding actinic keratosis to reduce squamous cell carcinoma incidence. Br J Dermatol. doi:10.1111/bjd.18529 which has been published in final form at https://doi.org/10.1111/bjd.18529. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions."