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  Vol. 5 No. 5, May 1996 TABLE OF CONTENTS
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Current Concepts

Photoprotection

Lewis H. Kaminester, MD

Arch Fam Med. 1996;5(5):289-295.


References
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1. Boldeman C, Ullen H, Mansson-Brahme E, Holm LE. Primary prevention of malignant melanoma in the Stockholm Cancer Prevention Programme. Eur J Cancer Prev. 1993;2:441-446. PUBMED
2. Pollan M, Lopez-Abente G. Mortality trends in cutaneous malignant melanoma in Spain, 1967-1986. Cancer Epidemiol Biomarkers Prev. 1993;2:545-550. FREE FULL TEXT
3. Vail-Smith K, Felts WM. Sunbathing: college students' knowledge, attitudes, and perceptions of risks. J Am Coll Health. 1993;42:21-26. PUBMED
4. Berry P. Learning to save our skin. Hawaii Med J. 1993;52:142-144. PUBMED
5. Hughes BR, Altman DG, Newton JA. Melanoma and skin cancer: evaluation of a health education programme for secondary schools. Br J Dermatol. 1993;128:412-417. PUBMED
6. Hill D, White V Marks R, Borland R. Changes in sun-related attitudes and behaviors, and reduced sunburn prevalence in a population at high risk of melanoma. Eur J Cancer Prev. 1993;2:447-456. PUBMED
7. Girgis A, Sanson-Fisher RW, Watson A. A workplace intervention for increasing outdoor workers' use of solar protection. Am J Public Health. 1994;84:77-81. FREE FULL TEXT
8. Loescher LJ. Skin cancer prevention and detection update. Semin Oncol Nurs. 1993;9:184-187. PUBMED
9. Guercio-Hauer C, Macfarlane DF, Deleo VA. Photodamage, photoaging and photoprotection of the skin. Am Fam Physician. 1994;50:327-332, 334. PUBMED
10. National Institutes of Health summary of the Consensus Development Conference on Sunlight, Ultraviolet Radiation, and the Skin. J Am Acad Dermatol. 1991;24:608-612. PUBMED
11. Sun know-how: taking preventive action. Occup Health (Lond). 1994;46:206-207. PUBMED
12. Kamin CS, O'Neill PN, Ahearn MJ. Developing and evaluating a cancer prevention teaching module for secondary education: project safety (sun awareness for educating today's youth). J Cancer Educ. 1993;8:313-318. PUBMED
13. Gilchrest BA. Sunscreens: a public health opportunity. N Engl J Med. 1993;329:1193-1194. FREE FULL TEXT
14. Kaminester LH. Sunlight, skin cancer and sunscreens. JAMA. 1975;232:1373-1374. FREE FULL TEXT
15. Kaminester LH. Sunlight: its effects and preventive therapy—part 1. Dermatology. July 1978:40-44.
16. Kaminester LH. Skin cancer: diagnosis and treatment. Hosp Med. March 1990:9-115.
17. Green AC. Premature aging of the skin in a Queensland population. Med J Aust. 1991;155:473-478. PUBMED
18. Balin AK, Pratt LA. Physiological consequences of human skin aging. Cutis. 1989;43:431-436. PUBMED
19. Smith L. Histopathologic characteristics and ultra structure of aging skin. Cutis. 1989;43:414-424. PUBMED
20. Shaath N. The chemistry of sunscreens. In: N Lowe, N Shaath, eds. Sunscreens: Development, Evaluation, and Regulatory Aspects. New York, NY: Marcel Dekker Inc; 1990:211-233.
21. Sayre RM, Kollias N, Roberts RL, Baqer A. Physical sunscreens. J Soc Cosmet Chem. 1990;41:103-109.
22. Roelandts R. Which components in broadspectrum sunscreens are most necessary for adequate UVA protection? J Am Acad Dermatol. 1993;25:999-1004.
23. Diffey BL, Farr PM. Sunscreen protection against UVB, UVA and blue light: an in vivo and in vitro comparison. Br J Dermatol. 1991;124:258-263. PUBMED
24. Kligman LH. Intensification of ultravioletinduced dermal damage by infrared radiation. Arch Dermatol Res. 1982;272:229-238. PUBMED
25. Food and Drug Administration. Sunscreen products for over-the-counter human use. Federal Register. 1978;43:38206-38269.
26. Rigel DS, Kopf AW, Friedman RJ. The rate of malignant melanoma in the United States: are we making an impact? J Am Acad Dermatol. 1987;17:1050-1053. PUBMED
27. Apelgren J. Pale is beautiful. Nurs Times. 1992;88:24-26. PUBMED
28. Food and Drug Administration. Sunscreen products for over-the-counter human use. Federal Register. 1993;58:28194-28302.
29. 21 CFR parts 352, 700, and 740. Discussion of ultraviolet A protection claims and testing procedures for over-the-counter sunscreen drug products. Public meeting and reopening of the administrative record; proposed rule. Washington, DC: US Government Printing Office, April 5, 1994.
30. Diffey BL, Robson JJ. A new substrate to measure sunscreen protective factors throughout the ultraviolet spectrum. J Soc Cosmet Chem. 1989;40:127-133.
31. Roelandts R, Sohrbvand N, Garmyn M. Evaluating the UVA protection of sunscreens. J Am Acad Dermatol. 1990;21:56-62.
32. Sayre RM, Agin PP. A method for the determination of UVA protection for normal skin. J Am Acad Dermatol. 1990;23:429-440. PUBMED
33. Kaidbey KH, Barnes A. Determination of UVA protection factors by means of immediate pigment darkening in normal skin. J Am Acad Dermatol. 1991;25:262-266. PUBMED
34. Cole C, VanFossen R. Measurement of sunscreen UVA protection: an unsenstized human model. J Am Acad Dermatol. 1992;26:178-184. PUBMED
35. Agin P. Broad spectrum protection in sunscreen products. J Am Acad Dermatol. 1992;27:648-649. PUBMED
36. Garland CF, Garland FC, Gorham ED. Rising trends in melanoma: an hypothesis concerning sunscreen effectiveness. Ann Epidemiol. 1993;3:103-110. PUBMED
37. Urbach F. Ultraviolet A transmission by modern sunscreens: is there a real risk? Photodermatol Photoimmunol Photomed. 1992;9:237-241. PUBMED
38. Pathak MA, DeLeo VA, Epstein JH, Morison W. Rising trends in melanoma: an hypothesis concerning sunscreen effectiveness: the Photobiology Committee of the Skin Cancer Foundation. Ann Epidemol. 1993;3:451.
39. Cascinelli N, Krutmann J, MacKie R, et al. European School of Oncology advisory report: sun exposure, UVA lamps and risk of skin cancer. Eur J Cancer. 1994;30:548-560.
40. Truhan AP. Sun protection in childhood. Clin Pediatr (Phila). 1991;30:676-681. FREE FULL TEXT
41. Gallagher RP, Hill GB, Bajdik CD, et al. Sunlight exposure, pigmentation factors, and risk of nonmelanocytic skin cancer. Arch Dermatol. 1995;131:164-169. FREE FULL TEXT
42. Bavinck JN, De Boer A, Vermeer BJ, et al. Sunlight, keratotic skin lesions and skin cancer in renal transplant recipients. Br J Dermatol. 1993;129:242-249. PUBMED
43. Stern R, Weinstock M, Baker S. Risk reduction for nonmelanoma skin cancer with childhood sunscreen use. Arch Dermatol. 1986;122:537-545. FREE FULL TEXT
44. Elwood JM. Melanoma and sun exposure: contrasts between intermittent and chronic exposure. World J Surg. 1992;16:157-165. PUBMED
45. Mack TM, Floderus B. Malignant melanoma risk by nativity, place of residence at diagnosis, and age at migration. Cancer Causes Control. 1991;2:401-411. PUBMED
46. Osterlind A. Malignant melanoma in Denmark: occurrence and risk factors. Acta Oncol. 1990;29:833-854. PUBMED
47. Children and the sun's UV rays don't mix. Hosp Health Netw. 1994;68:15. PUBMED
48. Kricker A, Armstrong B, English D, et al. A case-control study of nonmelanocytic skin cancer and sun exposure in Western Australia. Cancer Res Clin Oncol. 1991;117(suppl):75. Abstract.
49. Rees J. Genetic alterations in nonmelanoma skin cancer. J Invest Dermatol. 1994;103:747-750. PUBMED
50. Morales Suarez-Varela M, Llopis Gonzalez A, Ferrer Caraco E. Non-melanoma skin cancer: an evaluation of risk in terms of ultraviolet exposure. Eur J Epidemiol. 1992;8:838-844. PUBMED
51. Weinstock MA. Assessment of sun sensitivity by questionnaire: validity of items and formulation of a prediction rule. J Clin Epidemiol. 1992;45:547-552. PUBMED
52. Alcalay J, Freeman SE, Goldberg LH, Wolf JE. Excision repair of pyrimidine dimers induced by simulated solar radiation in the skin of patients with basal cell carcinoma. J Invest Dermatol. 1990;95:506-509. PUBMED
53. Beitner H, Norell SE, Ringborg U, Wennersten G, Mattson B. Malignant melanoma: etiological importance of individual pigmentation and sun exposure. Br J Dermatol. 1990;122:43-51. PUBMED
54. Kricker A, Armstrong B, English D. et al. Pigmentary and cutaneous risk factors for nonmelanocytic cancer: a case-control study. Int J Cancer. 1991;48:650-662. PUBMED
55. Gallagher RP, Hill GB, Bajdik CD, et al. Sunlight Exposure, pigmentary factors, and risk of nonmelanocytic skin cancer. Arch Dermatol. 1995;131:157. FREE FULL TEXT
56. Osterlind A. Fair complexion and risk of malignant melanoma of the skin based on experience from the Danish Cancer Registry. Recent Results Cancer Res. 1993;128:91-100. PUBMED
57. Weiss J, Bertz J, Jung EG. Malignant melanoma in southern Germany: different predictive value of risk factors for melanoma subtypes. Dermatologica. 1991;183:109-113. PUBMED
58. Carey FA, Hogan JM. The relationship of sun exposure and solar elastosis to skin cancer in a high risk population. Ir J Med Sci. 1990;159:44-47. PUBMED
59. White E, Kirkpatrick CS, Lee JA. Case-control study of malignant melanoma in Washington State, I: constitutional factors and sun exposure. Am J Epidemiol. 1994;139:857-868. FREE FULL TEXT
60. Schmieder GJ, Yoshikawa T, Mata SM, Streilein JW, Taylor JR. Cumulative sunlight exposure and the risk of developing skin cancer in Florida. Dermatol Surg. 1992;18:517-522.
61. Kossard S, Rosen R. Cutaneous Bowen's disease: an analysis of 1001 cases according to age, sex, and site. J Am Acad Dermatol. 1992;27:406-410. PUBMED
62. Kuflik AS, Schwartz RA. Actinic keratosis and squamous cell carcinoma. Am Fam Physician. 1994;4:817-820.
63. Pathak MA. Ultraviolet radiation and the development of nonmelanoma and melanoma skin cancer: clinical and experimental evidence. Skin Pharmacol. 1991;4(suppl_1):85-94. PUBMED
64. Dubin N, Pasternack BS, Moseson M. Simultaneous assessment of risk factors for malignant melanoma and non-melanoma skin lesions, with emphasis on sun exposure and related variables. Int J Epidemiol. 1990;19:811-819. FREE FULL TEXT
65. Koh HK, Kligler BE, Lew RA. Sunlight and cutaneous malignant melanoma: evidence for and against causation. Photochem Photobiol. 1990;51:765-779. PUBMED
66. Vitasa BC, Taylor HR, Strickland PT, et al. Association of nonmelanoma skin cancer and actinic keratosis with cumulative solar ultraviolet exposure in Maryland watermen. Cancer. 1990;65:2811-2817. PUBMED
67. Glass AG, Hoover RN. The emerging epidemic of melanoma and squamous cell skin cancer. JAMA. 1989;262:2097-2100. FREE FULL TEXT
68. Scotto J, Fears TR, Fraumeni JF. Incidence of Nonmelanoma Skin Cancer in the United States. Washington, DC: Public Health Service; 1983. NIH publication 83-2433.
69. Fears TR, Scotto J. Changes in skin cancer morbidity between 1971-72 and 1977-78. J Natl Cancer Inst. 1982;69:365-370. PUBMED
70. Miller DL, Weinstock MA. Nonmelanoma skin cancer in the United States: incidence. J Am Acad Dermatol. 1994;30:774-778. PUBMED
71. Sober AJ, Lew RA, Koh HK, Barnhell RL. Epidemiology of cutaneous melanoma: an update. Dermatol Clin. 1991;9:617-629. PUBMED
72. Armstrong BK, Kricker A. How much melanoma is caused by sun exposure? Melanoma Res. 1993;3:395-401. PUBMED
73. Setlow RB, Wookhead AD, Grist E. Animal model for ultraviolet radiation-induced melanoma: platyfish-swordtail hybrid. Proc Natl Acad Sci USA. 1989;86:8922-8926. FREE FULL TEXT
74. Weinstock MA. Epidemiology of melanoma. In: Nathanson L, ed. Current Research and Clinical Management of Melanoma. Hingham, Mass: Kluwer Boston Inc; 1993:29-56.
75. Rigel DS. Epidemiology and prognostic factors in malignant melanoma. Ann Plast Surg. 1992;28:7-8. PUBMED
76. Koh HK, Sinks TH, Geller AC, Miller DR, Lew RA. Etiology of melanoma. Cancer Treat Res. 1992;65:1-28.
77. Krishnamurthy S. The geography of nonocular malignant melanoma in India: its association with latitude, ozone levels and UV light exposure. Int J Cancer. 1929;51:169-172.
78. Weinstock MA, Colditz GA, Willett WC, et al. Melanoma and the sun: the effect of swimsuits and a 'healthy' tan on the risk of nonfamilial malignant melanoma in women. Am J Epidemiol. 1991;134:462-470. FREE FULL TEXT
79. Ketchum P. Mortality rates from melanoma are rising. Can Fam Physician. 1992;39:1333-1334.
80. Boring CC, Squires TS, Tong T, et al. Cancer statistics, 1994. CA Cancer J Clin. 1994;44:7-26. PUBMED
81. Robinson JK, Rademaker AW. Relative importance of prior basal cell carcinomas, continuing sun exposure, and circulating T lymphocytes on the development of basal cell carcinoma. J Invest Dermatol. 1992;99:227-231. PUBMED
82. Tie C, Golomb C, Taylor JR, Streilein JW. Suppressive and enhancing effects of ultraviolet B radiation on expression of contact hypersensitivity in man. J Invest Dermatol. 1995;104:18-22. PUBMED
83. Rogers GS, Gilchrest BA. The senile epidermis: environmental influences on skin ageing and cutaneous carcinogenesis. Br J Dermatol. 1990;122(suppl 35):55-60. PUBMED
84. Lavker RM, Gerberick GF, Veres D, Irwin CJ, Kaidbey KH. Cumulative effects from repeated exposures to suberythemal doses of UVB and UVA in human skin. J Am Acad Dermatol. 1995;32:53-62. PUBMED
85. Roberts LK, Beasley DG. The role of sunscreen in preventing ultraviolet-induced immune suppression. J Invest Dermatol. 1994;102:665.
86. Lavker RM. Structural alterations in exposed and unexposed aged skin. J Invest Dermatol. 1979;73:59-66. PUBMED
87. Schwartz E, Cruickshank FA, Perlish JS, et al. Alterations in dermal collagen in ultraviolet irradiated hairless mice. J Invest Dermatol. 1989;93:142-146. PUBMED
88. Debrooner D. Here comes the sun. Am Druggist. 1994;210:30-34.
89. Agin P. Broad-spectrum protection in sunscreen products. J Am Acad Dermatol. 1992;27:648-650. Letter. PUBMED
90. Lombard D, Neubauer TE, Canfield D, Winett RA. Behavioral community intervention to reduce the risk of skin cancer. J Appl Behav Anal. 1991;24:677-686. PUBMED
91. Theobald T, Marks R, Hill D, Dorevitch A. 'Goodbye sunshine': effects of a television program about melanoma on beliefs, behavior, and melanoma thickness. J Am Acad Dermatol. 1991;25:717-723. PUBMED
92. Banks BA, Silverman RA, Schwartz RH, Tunnessen WW Jr. Attitudes of teenagers toward sun exposure and sunscreen use. Pediatrics. 1992;89:40-42. FREE FULL TEXT
93. Cody R, Lee C. Behaviors, beliefs, and intentions in skin cancer prevention. J Behav Med. 1990;13:373-389. PUBMED
94. Borland RM, Hocking B, Godkin GA, Gibbs AF, Hill DJ. The impact of a skin cancer control education package for outdoor workers. Med J Aust. 1991;154:686-688. PUBMED
95. Robinson JK. Behavior modification obtained by sun protection education coupled with removal of a skin cancer. Arch Dermatol. 1990;126:477-481. FREE FULL TEXT
96. Foltz AT. Parental knowledge and practices of skin cancer prevention: a pilot study. J Pediatr Health Care. 1993;7:220-225. PUBMED
97. Grin CM, Pennoyer JW, Lehrich DA, et al. Sun exposure of young children while at day care. Pediatric Dermatol. 1994;11:304-309.
98. Weinstock MA, Stampfer MJ, Lew RA, Willett WC, Sober AJ. Case control study of melanoma and dietary vitamin D: implications for advocacy of sun protection and sunscreen use. J Invest Dermatol. 1992;98:809-811. PUBMED
99. Foley P, Nixon R, Frowen K, Thompson S. The frequency of reactions to sunscreens: results of a longitudinal population-based study on the regular use of sunscreens in Australia. Br J Dermatol. 1993;128:512-518. PUBMED
100. English JSC, White IR. Allergic contact dermatitis from isoproyl debenzoyl methane. Contact Dermatitis. 1986;15:94. PUBMED
101. Theeuwes M, Degreef H, Dooms-Gossens A. Para-aminobenzoic Acid (PABA) and sunscreen allergy. Am J Contact Dermatitis. 1992;3:206-207.
102. Bilsland D, Ferguson J. Contact allergy to sunscreen chemicals in photosensitivity dermatitis/actinic reteculoid syndrome (PD/AR) and polymorphic light eruption (PLE). Contact Dermatitis. 1993;29:70-73. PUBMED
103. Parrish JA, Pathak MA, Fitzpatrick TB. Facial irritation due to sunscreen products. Arch Dermatol. 1975;111:525. PUBMED
104. Dromgoole SH, Maibach HI. Sunscreening agent intolerance: contact and photo contact sensitization and contact urticaria. J Am Acad Dermatol. 1990;22:1068-1078. PUBMED
105. Silber PM, Mills OH, Dammers KS, et al. Comparative skin irritation of high and low SPF sunscreen products. J Toxicol Cutan Ocul Toxicol. 1990;9:555-563.
106. Urback F. Testing the efficacy of sunscreens: effect of choice of source and spectral power distribution of ultraviolet radiation, and choice of end point. Photodermatol Photoimmunol Photomed. 1989;6:177-181.
107. De Rijcke S, Heenen M. Decrease of ultravioletinduced DNA injury in human skin by paminobenzoic acid esters. Dermatologica. 1989;179:196-199. PUBMED
108. Thompson SC, Julley D, Marks R. Reduction of solar keratosis by regular sunscreen use. N Engl J Med. 1993;329:1147-1151. FREE FULL TEXT
109. Naylor MF, Boyd A, Smith DW, Cameron GS, Hubbard D, Neldner KH. High sun protection factor sunscreens in the suppression of actinic neoplasia. Arch Dermatol. 1995;131:170-175. FREE FULL TEXT
110. Moyal D, Chardon A, Hourseau C. Infra-red erythema and the part it plays in actinic erythema. Eur J Dermatol. 1993;3:64-67.
111. Clarkson DM, Grunfeld N, Hewak WJ. New ultraviolet monitoring technology. Hawaii Med J. 1993;52:116,146. PUBMED
112. Bargoil SC, Erdman LK. Safe tan, an oxymoron. Cancer Nurs. 1993;16:139-144. PUBMED
113. Protecting man from UV exposure. Lancet. 1991;337:1258-1259. PUBMED
114. Russell LC, Murray J. Patient education: recommendations regarding sunscreens, drugs, and diet. Ann Plast Surg. 1992;28:14-16. PUBMED
115. Mermelstein RJ, Riesenberg LA. Changing knowledge and attitudes about skin cancer risk in adolescents. Health Psychol. 1992;11:371-376. PUBMED
116. Berwick M, Fine JA, Bolognia JL. Sun exposure and sunscreen use following a community skin cancer screening. Prev Med. 1992;21:302-310. PUBMED
117. Kaminester LH. Suntanning centers. JAMA. 1980;11:1258-1259.
118. Stenberg A. Pseudoporphyria and sun beds. Acta Derm Venereol. 1990;70:354-356. PUBMED
119. Rivers JK, Norris PG, Murphy GM, et al. UVA sunbeds: tanning photoprotection, acute adverse effects, and immunologic changes. Br J Dermatol. 1989;120:767-777. PUBMED
120. Murphy GM, Wright J, Nicholls DSH, et al. Sunbed-induced pseudoporphyria. Br J Dermatol. 1989;120:555-562. PUBMED
121. Menter JM, Hollins TD, Sayre RM, et al. Protection against UV photocarcinogenesis by fabric materials. J Am Acad Dermatol. 1994;31:711-716. PUBMED
122. Jevtic AP. The sun protective effect of clothing, including beach wear. Australas J Dermatol. 1990;31:5-7. PUBMED
123. Diffey BL, Cheeseman J. Sun protection with hats. Br J Dermatol. 1992;127:10-12. PUBMED
124. Cruickshanks KJ, Kein BE, Klein R. Ultraviolet light exposure and lens opacities: the Beaver Dam Eye Study. Am J Public Health. 1992;82:1658-1662. FREE FULL TEXT
125. Zigman S, Yulo T, Schultz J. Cataract induction in mice exposed to near UV light. Ophthalmic Res. 1974;6:259-270.
126. Levy SB. Dihydroxyacetone-containing sunless or self-tanning lotions. J Am Acad Dermatol. 1992;27:989-993. PUBMED
127. Kaminester LH. Crucial importance of the complete skin examination. J Am Acad Dermatol. 1985;13:150-151. Letter. PUBMED
128. Chiarello SE. The comprehensive skin examination: reasons for, facts and method. J Geriatr Dermatol. 1994;2:99-102.
129. Rigel DS, Friedman RJ, Kopf AW, et al. Importance of complete cutaneous examination for the detection of malignant melanoma. J Am Acad Dermatol. 1986;14:857-860. PUBMED
130. Marks R, Rennie G, Selwood T. Malignant transformation of solar keratoses to squamous cell carcinoma. Lancet. 1988;1:795-797. PUBMED
131. Naylor MF, Boyd A, Smith DW, et al. High sun protection factor sunscreen in the suppression of actinic neoplasia. Arch Dermatol. 1995;131:170-175. FREE FULL TEXT
132. Grant-Kels JM. The impact of ozone depletion on the skin. Pediatr Dermatol. 1993;10:81-83. PUBMED
133. Coldiron B. Thinning of the ozone layer, facts and consequences. J Am Acad Dermatol. 1992;27:653-661. PUBMED
134. O'Donoghue MN. Sunscreen: one weapon against melanoma. Dermatol Clin. 1991;9:789-793. PUBMED
135. Hill MJ. Be a proponent of skin cancer awareness. Dermatol Nurs. 1990;2:66. PUBMED