Journal of Clinical and Aesthetic Dermatology

FEB 2018

An evidence-based, peer-reviewed journal for practicing clinicians in the field of dermatology

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Page 47 of 62

45 JCAD JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY February 2018 • Volume 11 • Number 2 O R I G I N A L R E S E A R C H CONCLUSION Skin cancer is a rapidly growing and potentially preventable worldwide health concern, and reducing unnecessary UV exposure might prove to be a critical component in reducing the global burden of disease. Our findings underscore the complex nature of UV radiation. While many dermatologists appear to recognize the therapeutic utility of UV radiation, they unanimously support restrictive legislation, counsel against cosmetic tanning, and list tanning bed use among their highest concerns with regard to the health of pediatric patients. Indeed, for some patients experiencing special circumstances (inability to obtain a home- phototherapy unit, limited proximity to office- based phototherapy, difficulty with insurance coverage and/or cost), there might be a role for tanning salons in the treatment of dermatologic disease. However, the acknowledgment of the potential beneficial effects of UV therapy does not mean UV radiation is free of harmful effects; rather it highlights the importance of education, risk-benefit analysis, and the pivotal role clinicians play in the longitudinal management of disease. REFERENCES 1. Runger TM. ultraviolet light. In: Bolognia J, Jorizzo J, Rapini R, (eds). Dermatology, 3rd ed. Spain: Saunders/ Elsevier; 2012:1455–1465. 2. Cadet J, Douki T, Ravanat J. Oxidatively generated damage to cellular DNA by UVB and UVA radiation. Photochem Photobiol. 2015;91: 140–155. 3. Honigsmann H, Schwarz T. Chapter 134: Ultraviolet Ther- apy. In: Bolognia J, Jorizzo J, Rapini R, (eds). Dermatolo- gy, 3rd ed. Spain: Saunders/Elsevier; 2012;2219–2235. 4. Parrish JA, Jaenicke KF. Action spectrum for photothera- py of psoriasis. J Invest Dermatol. 1981;76(5):359–362. 5. Lapidoth M, Adatto M, David M. Targeted UVB phototherapy for psoriasis: a preliminary study. Clin Exp Dermatol. 2007;32(6):642–645. 6. Levin AA, Aleissa S, Dumont N, et al. A randomized, prospective, sham-controlled study of localized nar- row-band UVB phototherapy in the treatment of plaque psoriasis. J Drugs Dermatol. 2014;13(8):922–6. 7. Barbagallo J, Spann CT, Tutrone WD, Weinberg JM. Narrowband UVB phototherapy for the treatment of psoriasis: a review and update. Cutis. 2001;68:345–347. 8. Tjioe M, Smits T, van de Kerkhof PC, Gerritsen MJ. The dif- ferential effect of broad band vs narrow-band UVB with respect to photodamage and cutaneous inflammation. Exp Dermatol. 2003;12(6):729–733. 9. Hearn RM, Kerr AC, Rahim KF, et al. Incidence of skin cancers in 3867 patients treated with narrow-band ultra- violet B phototherapy. Br J Dermatol. 2008;159:931–935. 10. International Smart Tan Network site. U.S. derms refer 900,000 to sunbeds: survey. news/index.php/u-s-derms-refer-900000-to-sunbeds- survey-3/. February 23, 2012. Accessed April 26, 2017. 11. International Smart Tan Network site. According to Smart Tan an estimated 1.5 million Americans utilize tanning salons to informally treat psoriasis in lieu of phototherapy in a dermatologist's office. phototherapy procedures use the same equipment found in tanning salons. posts/10153589333943068. March 4, 2016. Accessed April 26, 2017. 12. Russell M. Loudest voice. Smart Tan Magazine. March 2012. 27(3): 23. 13. Levy J. [Smart Tan]. Joe Levy on Mayo Study. [Video]. dex=46&list=PLD5A114FFE303F663. April 6, 2012. Accessed April 26, 2017. 14. International Smart Tan Network site. Derm study more politics than science: Smart Tan News. https://www. May 19, 2010. Accessed April 26, 2017. 15. International Smart Tan Network site. Smart Tan Is Right: Dermatologist. smart-tan-is-right/. March 11, 2016. Accessed April 26, 2017. 16. U.S. House of Representatives Committee on Energy and Commerce – Minority Staff. False and misleading health information provided to teens by the indoor tanning industry: investigative report. Carver College of Medicine site. Departments/Dermatology/Content/About_Us/ Investigative%20report.pdf. February 1, 2012. Accessed April 26, 2017. 17. Levine JA, Sorace M, Spencer J, Siegel DM. The indoor UV tanning industry: a review of skin cancer risk, health benefit claims, and regulation. J Am Acad Dermatol. 2005;53:1038–1044. 18. National Toxicology Program. Report on Carcinogens, Thirteenth Edition. Research Triangle Park, NC: U.S. Department of Health and Human Services, Public Health Service. roc13/. 2014. Accessed April 26, 2017. 19. El Ghissassi F, Baan R, Straif K, et al. WHO international agency for research on cancer monograph working group. a review of human carcinogens - part D: radiation. Lancet Oncol. 2009;10(8):751–752. 20. Ferrucci LM, Cartmel B, Molinaro AM, et al. Indoor tanning and risk of early-onset basal cell carcinoma. J Am Acad Dermatol. 2012;67:552–562. 21. Lazovich D, Vogel RI, Berwick M, et al. Indoor tanning and risk of melanoma: a case-control study in a highly exposed population. Cancer Epidemiol Biomarkers Prev. 2010;19:1557–1568. 22. Boniol M, Autier P, Boyle P, Gandini S. Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis. BMJ.2012;345:e4757. 23. Ferrucci LM, Vogel, RI, Cartmel B, et al. Indoor tanning in businesses and homes and risk of melanoma and nonmelanoma skin cancer in 2 US case-control studies. J Am Acad Dermatol. 2014;71(5):882–887. 24. Wehner MR, Shive ML, Chren MM, et al. Indoor tanning and non-melanoma skin cancer: systematic review and meta-analysis. BMJ. 2012;345:e5909. 25. Guy GP Jr., Watson M, Haileyesus T, Annest JL. Indoor tanning-related injuries treated in a national sample of US hospital emergency departments. JAMA Intern Med. 2015;175(2):309–311. 26. Wehner MR, Chren MM, Nameth D, et al. International prevalence of indoor tanning: a systematic review and meta-analysis. JAMA Dermatol. 2014;150(4): 390–400. 27. Housman TS, Rohrback JM, Fleischer AB, Feldman SR. Phototherapy utilization for psoriasis is declining in the United States. J Am Acad Dermatol. 2002;46(4): 557–559. 28. Lim HW, Silpa-archa N, Amadi U, et al. Phototherapy in dermatology: a call for action. J Am Acad Dermatol. 2015;72(6):1078–1080. 29. Farley E, Menter A. Psoriasis: comorbidities and associations. G Ital Dermatol Venereol. 2011;146(1): 9–15. 30. Onumah N, Kircik LH. Psoriasis and its comorbidities. J Drugs Dermatol. 2012;11(5 Suppl):s5–s10. 31. Gelfand JM, Yeung H. Metabolic syndrome in patients with psoriatic disease. J Rheumatol Suppl. 2012;89:24– 28. 32. Lai YC, Yew YW. Psoriasis as an independent risk factor for cardiovascular disease: an epidemiologic analysis using a national database. J Cutan Med Surg. 2016;20(4):327–333. 33. Armstrong EJ, Harskamp CT, Armstrong AW. Psoriasis and major adverse cardiovascular events: a systemic review and meta-analysis of observational studies. J Am Heart Assoc. 2013 Apr; 2(2):e000062. 34. Horreau C, Pouplard C, Brenaut E, et al. Cardiovascular morbidity and mortality in psoriasis and psoriatic arthritis: a systematic literature review. J Eur Acad Dermatol Venereol. 2013;27(Suppl 3):12–29. 35. Radack KP, Farhangian ME, Anderson KL, Feldman SR. A review of the use of tanning beds as a dermatological treatment. Dermatol Ther. 2015;5:37–51. 36. Fleischer AB Jr, Clark AR, Rapp SR, et al. Commercial tanning bed treatment is an effective psoriasis treatment: results from an uncontrolled clinical trial. J Invest Dermatol. 1997;109(2):170–174. 37. Carlin CS, Callis KP, Krueger GG. Efficacy of acitretin and commercial tanning bed therapy for psoriasis. Arch Dermatol. 2003;139(4):436–442. JCAD

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