Sunlight-induced Painful Skin (Sun Pain): A New Differential Diagnosis in Photodermatology

Calzavara‐Pinton, Piergiacomo; Venturini, Marina; Rovati, Chiara; Arisi, Mariachiara; Calzavara‐Pinton, Irene; Rinaldi, Fabrizio

doi:10.2340/00015555-3845

Cited by 6 publications

(14 citation statements)

References 24 publications

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“…In this study, AK and BC occupied 87.3% and 66.7% of head and neck SC respectively, which was close to previous studies 40,41 . These implied that AK and BCC might be more vulnerable to chronic UV exposure 34 . AK is acknowledged as a premalignant skin lesion that can evolve towards intraepidermal SCC, requiring prompt treatment 42,43 .…”

Section: Discussionmentioning

confidence: 98%

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An epidemiological study on skin tumors of the elderly in a community in Shanghai, China

Huang

Zhang

Shi

et al. 2023

Sci Rep

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The morbidity of skin tumors (ST) in China is a great concern as the population ages. No epidemiological survey on ST in elderly communities in China has been reported. A questionnaire survey was conducted among the residents over 60 years old in a community in Shanghai, China from May 1, 2011 to November 30, 2011. The prevalence of cutaneous tumors and associated factors were analyzed. Among 2038 valid cases, a total of 78 (3.8%, 95% CI 3.0–4.7) skin cancers (SC) were confirmed. According to the final multivariate regression analysis, age, gender and previous occupation were the significantly influential factors for SC. Actinic keratosis (AK) accounted for the largest proportion (63, 3.1%) in SC. The head and neck was the physiological site with the highest incidence of SC (64, 82.1%), and AK was the most common (55, 87.3%) in head and neck SC. The common concomitant diseases of SC were hypertension (26, 33.3%) and diabetes mellitus (9, 11.5%). Seborrheic keratosis (SK) was the most common benign skin tumor with a prevalence of 100%. Men and women developed SK in significantly different parts of the body (P < 0.0001). The incidence of ST in the elderly population in Shanghai community increased with age. ST preferred to occur in the head and neck, which might be attributed to excessive ultraviolet (UV) exposure in these areas. Therefore, early diagnosis and sun-protection education are essential interventions for ST in the elderly.

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Section: Discussionmentioning

confidence: 98%

“…Admittedly, multiple predisposing risks are involved in the etiology of skin malignancies 33 , and therefore SC vary vastly by geographical areas 4,34 . Outdoor workers are often exposed to high levels of UV radiation 35 .…”

Section: Discussionmentioning

confidence: 99%

An epidemiological study on skin tumors of the elderly in a community in Shanghai, China

Huang

Zhang

Shi

et al. 2023

Sci Rep

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“…Several studies have shown that, despite adequate knowledge about photoprotection measures and risk factors for developing skin cancer, people do not correctly apply these measures 28,29 . Moreover, people with skin cancer history, even after receiving appropriate education following diagnosis, continued to develop sunburn 30 and show suboptimal adherence to photoprotection measures 31 …”

Section: Discussionmentioning

confidence: 99%

A multicenter case‐control study comparing sun exposure habits and use of photoprotection measures in patients diagnosed with different types of skin cancer

Navarro‐Bielsa

Gracia‐Cazaña

Almagro

et al. 2023

Photoderm Photoimm Photomed

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BackgroundWhile skin cancer awareness programs have significantly furthered public understanding about the harmful effects of the sun, there is a disparity between photoprotection knowledge and protection practices.ObjectiveTo compare sun exposure habits and photoprotection measures in patients diagnosed with basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma versus controls.MethodsMulticentre case–control observational study carried out by 13 Spanish dermatologists between April 2020 and August 2022. Patients diagnosed with BCC, SCC, or melanoma were considered cases. The control group consisted of individuals with no history of skin cancer.ResultsOf the 254 cases (56.2% female; mean age, 62.67 ± 15.65), 119 (31.2%) had BCC, 62 (16.27%) SCC, and 73 (19.1%) melanoma. The control group consisted of 127 (33.33%) individuals. Avoiding sun exposure between 12:00 and 16:00 was the most commonly used photoprotection measure (habitually/always: 63.1%), followed by the use of sunscreen (habitually/always: 58.9%). Patients with melanoma were less likely to use clothing and shade to avoid sun exposure (p < .05), whereas those with BCC and SCC reported greater use of head coverings (p = .01). BCC and SCC groups reported greater sun exposure 15 years prior, whereas controls reported greater use of sunscreen. However, at the time of this study all groups reported using SPF ≥ 21, and the majority SPF > 50. No differences were observed in photoprotection measures between people with and without a previous history of skin cancer.ConclusionsWe describe differences in photoprotection measures and sun exposure patterns among patients diagnosed with different skin tumor types. Whether these differences may influence the type of tumor each developed will require further investigation.

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“…It is common knowledge that the incidence of NMSC increases with age and depends on genetic disposition (skin type according to Fitzpatrick), UV exposure, and individual use of sun protection 29 . To counter this risk, we should offer our patients advice on the general preventative measures of UV protection (responsible handling of UV exposure, topical sunscreens, and textile sun protection) and strongly recommend the established oncological screening examinations (skin cancer screening) 30 …”

Section: Cancer Riskmentioning

confidence: 99%

Recommendations for risk minimization when using Janus kinase inhibitors for the treatment of chronic inflammatory skin diseases

Wohlrab

Kegel

Große

et al. 2023

J Deutsche Derma Gesell

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SummaryIn accordance with article 20 of Regulation (EC) No 726/2004, the Pharmacovigilance Risk Assessment Committee (PRAC) of the European Medicines Agency (EMA) has re‐evaluated the safety of Janus kinase inhibitors for the treatment of inflammatory diseases and formulated safety information deviating from the previous indications in the respective summary of product characteristics of the products concerned. These refer to the consideration of a possibly increased risk of venous thromboembolic or severe cardiovascular events, an increased infection rate and an increase in the prevalence of skin cancer across drugs and indications. Therefore, in patients with independent risk factors (age 65 years and older, smokers or former smokers, patients with oral contraception or hormone replacement therapy and other risk factors), it is recommended to use Janus kinase inhibitors therapeutically only if there are no suitable treatment alternatives. To facilitate a pragmatic and thorough detection of high‐risk patients in everyday clinical practice, an interdisciplinary checklist was developed that is suitable as a working tool from the perspective of the dermatologist.

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Sunlight-induced Painful Skin (Sun Pain): A New Differential Diagnosis in Photodermatology

Cited by 6 publications

References 24 publications

An epidemiological study on skin tumors of the elderly in a community in Shanghai, China

An epidemiological study on skin tumors of the elderly in a community in Shanghai, China

A multicenter case‐control study comparing sun exposure habits and use of photoprotection measures in patients diagnosed with different types of skin cancer

Recommendations for risk minimization when using Janus kinase inhibitors for the treatment of chronic inflammatory skin diseases

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