Multiple Large Solar Lentigos on the Upper Back as Clinical Markers of Past Severe Sunburn: A Case-Control StudyDerancourt C.a · Bourdon-Lanoy E.b · Grob J.-J.c · Guillaume J.-C.d · Bernard P.a · Bastuji-Garin S.b
aDepartment of Dermatology, Hôpital Robert-Debré, Université de Reims, Reims, bDepartment of Public Health, Hôpital Henri-Mondor, AP-HP, Paris 12 University, Créteil, cDepartment of Dermatology, Hôpital Sainte-Marguerite, AP-HM, Université de la Méditerranée, Marseille, and dDepartment of Dermatology, Hôpital Pasteur, Colmar, France
Background: Multiple solar lentigos commonly seen on the upper back and shoulders of adults are classically considered as a sign of photodamage, although epidemiological studies are scarce. Aim: To assess whether these lesions are clinical markers of past severe sunburn. Methods: A case-control study in two outpatient dermatology clinics in French university hospitals. Past episodes of moderate and severe sunburn were compared between 145 adult patients with multiple solar lentigos on the upper back and 145 matched controls. Results: In multivariate analysis adjusted for potential confounders, recalled episodes of sunburn during childhood, adolescence and adulthood were independently associated with the presence of multiple solar lentigos (adjusted odds ratios, 95% confidence intervals: 2.3 (1.1–5.2) and 28.1 (10.4–75.6) for moderate and severe sunburn, respectively). Conclusion: Multiple solar lentigos on the upper back and shoulders of adults are potential clinical markers of past severe sunburn which may thus be used to identify a population at higher risk of developing cutaneous malignant melanoma.
© 2007 S. Karger AG, Basel
Prof. Sylvie Bastuji-Garin
Service de Santé Publique, Hôpital Henri-Mondor
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C. Derancourt and E. Bourdon-Lanoy contributed equally to this study.
This study was presented in part at the Journées Dermatologiques de Paris, Paris, December 2003.
Received: April 26, 2006
Accepted: May 12, 2006
Number of Print Pages : 7
Number of Figures : 1, Number of Tables : 3, Number of References : 18
Vol. 214, No. 1, Year 2007 (Cover Date: December 2006)
Journal Editor: Saurat, J.-H. (Geneva)
ISSN: 1018–8665 (print), 1421–9832 (Online)
For additional information: http://www.karger.com/DRM