Pub Date : 2023-05-01DOI: 10.1097/jdn.0000000000000742
Kyleen E. Davis
By now, dermatology nurses should be exceedingly aware of the dangers of indoor tanning. Over 10 years ago, the World Health Organization and the U.S. Department of Health and Human Services proclaimed artificial tanning through tanning beds and sun lamps to be carcinogenic (American Academy of Dermatology, 2022a). In 2014, after multiple proposed bans on indoor tanning, The U.S. Food and Drug Administration (FDA) required a black box warning to be placed on all indoor tanning products restricting access to minors (FDA, 2019). Numerous studies have shown a strong link between indoor tanning and premature skin aging, skin cancers, and ocular melanoma (FDA, 2015). Specifically, studies showed that with any reported history of indoor tanning use, the risk of basal and squamous cell carcinomas increased by 24% and 58%, respectively (American Academy of Dermatology, 2022a). In individuals who first used a tanning bed before the age of 35 years, the risk of melanoma—the deadliest form of skin cancer—increased by a startling 75% (Chien & Jacob, 2022). In fact, indoor tanning has led to more cases of skin cancer worldwide than smoking has to lung cancer (Chien & Jacob, 2022; Figure 1).FIGURE 1.: Squamous cell carcinoma on the posterior leg. Photo courtesy of Maral Skelsey, MD, Dermatologic Surgery Center of Washington. Used with permission.Despite the overwhelming evidence of its risks, approximately 7.8 million adults in the United States continued to participate in indoor tanning activities as of 2015 (Guy et al., 2017). Surveys on the global prevalence of indoor tanning between 2013 and 2018 revealed utilization rates of 6.5% for adolescents and 10.4% for adults (American Academy of Dermatology, 2022a). Although these numbers have been declining over time, indoor tanning remains a significant public health threat (Figure 2).FIGURE 2.: Image of an indoor tanning bed. Photo credit: pixel2008.In individuals who desire a sun-tanned appearance, the application of artificial tanning products containing dihydroxyacetone (DHA) may provide a safer alternative to indoor tanning (Misitzis & Weinstock, 2019). DHA is FDA approved for topical skin application but “should not be inhaled, ingested, or exposed to areas covered by mucous membranes” (FDA, 2022). With topical application, DHA triggers the formation of brown pigment in the top layer of skin. This short-term tanned skin effect is eventually removed by the normal skin sloughing process (Wickett, 2005). The increasing availability and use of sunless tanning products prompts questions about their efficacy as a skin cancer risk reduction measure. In this issue of the Journal of the Dermatology Nurses' Association (JDNA), authors Andrew Seidenberg, PhD, MPH, Anne K. Julian, PhD, MA, Anne M. Hartman, MS, MA, and Dawn Holman, MPH, analyzed data from the 2015 National Health Interview Survey to “determine the prevalence and risk factors associated with sunless and indoor tanning use among non-Hispanic white women,
例如，在支持使用无太阳晒黑产品的患者中，应评估同时使用室内晒黑的情况，并应提醒患者，无太阳晒黑产品不能提供足够的保护，防止晒伤或烧伤(Holman等人，2018)。护士还必须意识到许多人想要晒黑皮肤的文化压力，并努力采取公共卫生措施，帮助改变社会规范。随着皮肤癌的诊断和治疗给医疗保健系统带来了巨大的压力，发病率不断上升，皮肤科护士熟练地检测和管理这些癌症将变得越来越重要。研究表明，大约五分之一的美国人在他们的一生中会患上皮肤癌，目前美国有超过一百万人患有黑色素瘤(美国皮肤病学会，2022b)。1982年至2011年间，黑色素瘤发病率翻了一番，并且在老年人中继续上升(美国皮肤病学会，2022b)。然而，研究表明，护理和医学生在防晒行为方面的知识存在差距(Haney et al.， 2018;Ivanov et al.， 2018)。将适当的皮肤癌和防晒培训纳入健康科学课程的未来措施是必不可少的(图3)。额头上的恶性黑色素瘤。图片由华盛顿皮肤外科中心的医学博士Maral Skelsey提供。经允许使用。为了帮助皮肤科护士早期发现和管理皮肤癌，JDNA开始在2020年初推出的“回归基础，皮肤癌专栏”中对各种皮肤癌进行简化审查。从那时起，来自护理和医疗界的有才华的作者贡献了深思熟虑的和写得很好的文章，涵盖了诸如鳞状细胞癌、无色素黑色素瘤、默克尔细胞癌、基底细胞癌、光化性角化病、肛门生殖器鳞状细胞癌和皮肤纤维肉瘤隆突等主题。我们希望读者发现这些文章是有益的，并有助于扩大他们的皮肤癌的检测和管理的知识。来自“皮肤癌专栏”的文章以及Seidenberg等人(2023)的前沿研究表明，JDNA努力为皮肤科护士提供最佳护理患者所需的材料。说到继续教育，每年的这个时候回顾防晒行为的文献尤为重要。本期《JDNA》策略性地刊登了一些关于室内晒黑和皮肤癌的专题，以介于“黑色素瘤星期一”和“不要油炸日”之间，这是一个提高人们对需要采取公共卫生措施预防晒伤和皮肤癌的认识的时刻。通过不断努力提高对皮肤癌和防晒行为的了解，护士可以帮助减少皮肤癌对患者和社区的影响。凯琳·e·戴维斯皮肤科外科中心，华盛顿，切维蔡斯，马里兰州
{"title":"The Dangers of Indoor Tanning","authors":"Kyleen E. Davis","doi":"10.1097/jdn.0000000000000742","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000742","url":null,"abstract":"By now, dermatology nurses should be exceedingly aware of the dangers of indoor tanning. Over 10 years ago, the World Health Organization and the U.S. Department of Health and Human Services proclaimed artificial tanning through tanning beds and sun lamps to be carcinogenic (American Academy of Dermatology, 2022a). In 2014, after multiple proposed bans on indoor tanning, The U.S. Food and Drug Administration (FDA) required a black box warning to be placed on all indoor tanning products restricting access to minors (FDA, 2019). Numerous studies have shown a strong link between indoor tanning and premature skin aging, skin cancers, and ocular melanoma (FDA, 2015). Specifically, studies showed that with any reported history of indoor tanning use, the risk of basal and squamous cell carcinomas increased by 24% and 58%, respectively (American Academy of Dermatology, 2022a). In individuals who first used a tanning bed before the age of 35 years, the risk of melanoma—the deadliest form of skin cancer—increased by a startling 75% (Chien & Jacob, 2022). In fact, indoor tanning has led to more cases of skin cancer worldwide than smoking has to lung cancer (Chien & Jacob, 2022; Figure 1).FIGURE 1.: Squamous cell carcinoma on the posterior leg. Photo courtesy of Maral Skelsey, MD, Dermatologic Surgery Center of Washington. Used with permission.Despite the overwhelming evidence of its risks, approximately 7.8 million adults in the United States continued to participate in indoor tanning activities as of 2015 (Guy et al., 2017). Surveys on the global prevalence of indoor tanning between 2013 and 2018 revealed utilization rates of 6.5% for adolescents and 10.4% for adults (American Academy of Dermatology, 2022a). Although these numbers have been declining over time, indoor tanning remains a significant public health threat (Figure 2).FIGURE 2.: Image of an indoor tanning bed. Photo credit: pixel2008.In individuals who desire a sun-tanned appearance, the application of artificial tanning products containing dihydroxyacetone (DHA) may provide a safer alternative to indoor tanning (Misitzis & Weinstock, 2019). DHA is FDA approved for topical skin application but “should not be inhaled, ingested, or exposed to areas covered by mucous membranes” (FDA, 2022). With topical application, DHA triggers the formation of brown pigment in the top layer of skin. This short-term tanned skin effect is eventually removed by the normal skin sloughing process (Wickett, 2005). The increasing availability and use of sunless tanning products prompts questions about their efficacy as a skin cancer risk reduction measure. In this issue of the Journal of the Dermatology Nurses' Association (JDNA), authors Andrew Seidenberg, PhD, MPH, Anne K. Julian, PhD, MA, Anne M. Hartman, MS, MA, and Dawn Holman, MPH, analyzed data from the 2015 National Health Interview Survey to “determine the prevalence and risk factors associated with sunless and indoor tanning use among non-Hispanic white women,","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135050917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/jdn.0000000000000741
Angela L. Borger
{"title":"Reconnecting","authors":"Angela L. Borger","doi":"10.1097/jdn.0000000000000741","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000741","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88612992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/01.nurse.0000298222.30791.65
Kyleen E. Davis
{"title":"The Dangers of Indoor Tanning","authors":"Kyleen E. Davis","doi":"10.1097/01.nurse.0000298222.30791.65","DOIUrl":"https://doi.org/10.1097/01.nurse.0000298222.30791.65","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84769476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/jdn.0000000000000744
{"title":"Onychomycosis: A Comprehensive Overview","authors":"","doi":"10.1097/jdn.0000000000000744","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000744","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77336397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/jdn.0000000000000736
Andrew B Seidenberg, Anne K Julian, Anne M Hartman, Dawn M Holman
The use of indoor UV tanning devices (also known as "indoor tanning") has declined in recent years. Less is known about use of dihydroxyacetone-containing products used for tanning (also known as "sunless tanning"). We analyzed data from the 2015 National Health Interview Survey. Analysis was limited to non-Hispanic White women ages 18-49 years. We estimated the proportion of women reporting spray tanning, self-applied lotion tanning, and indoor tanning and used weighted multivariable logistic regression models to examine the relationships between socio-demographic characteristics, skin cancer risk factors, and other cancer risk factors with sunless and indoor tanning. Overall, 17.7% of women reported sunless tanning. Lotion tanning was more common (15.3%) than spray tanning (6.8%), while 12.0% of women engaged in indoor tanning. Among sunless tanners, 23.7% also engaged in indoor tanning. Younger age, ever having a skin exam, skin reactions to the sun, binge drinking, and being at a healthy weight were associated with sunless tanning. While sunless tanning may be less harmful for skin cancer risk than indoor tanning, the frequency with which the two behaviors co-occur suggests that efforts to address societal pressures for women to alter their skin color may have important public health benefits.
{"title":"Sunless and Indoor Tanning Among U.S. Non-Hispanic White Women Ages 18-49 Years.","authors":"Andrew B Seidenberg, Anne K Julian, Anne M Hartman, Dawn M Holman","doi":"10.1097/jdn.0000000000000736","DOIUrl":"10.1097/jdn.0000000000000736","url":null,"abstract":"<p><p>The use of indoor UV tanning devices (also known as \"indoor tanning\") has declined in recent years. Less is known about use of dihydroxyacetone-containing products used for tanning (also known as \"sunless tanning\"). We analyzed data from the 2015 National Health Interview Survey. Analysis was limited to non-Hispanic White women ages 18-49 years. We estimated the proportion of women reporting spray tanning, self-applied lotion tanning, and indoor tanning and used weighted multivariable logistic regression models to examine the relationships between socio-demographic characteristics, skin cancer risk factors, and other cancer risk factors with sunless and indoor tanning. Overall, 17.7% of women reported sunless tanning. Lotion tanning was more common (15.3%) than spray tanning (6.8%), while 12.0% of women engaged in indoor tanning. Among sunless tanners, 23.7% also engaged in indoor tanning. Younger age, ever having a skin exam, skin reactions to the sun, binge drinking, and being at a healthy weight were associated with sunless tanning. While sunless tanning may be less harmful for skin cancer risk than indoor tanning, the frequency with which the two behaviors co-occur suggests that efforts to address societal pressures for women to alter their skin color may have important public health benefits.</p>","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10921983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77299484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/jdn.0000000000000738
Isaac Weber, Kari Martin
{"title":"Onychomycosis","authors":"Isaac Weber, Kari Martin","doi":"10.1097/jdn.0000000000000738","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000738","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73929778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sunless and Indoor Tanning among US Non-Hispanic White Women Ages 18-49 Years","authors":"","doi":"10.1097/jdn.0000000000000743","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000743","url":null,"abstract":"Journal of the Dermatology Nurses’ Association 15(3):p E3, 5/6 2023. | DOI: 10.1097/JDN.0000000000000743","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135050915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/JDN.0000000000000734
Brenna G. Kelly, Mitchell Herold, C. Curiel-Lewandrowski
ABSTRACT Ichthyosis vulgaris is an inherited disease caused by loss of function mutations in the filaggrin encoding gene. This mutation results in decreased skin hydration, elevated skin surface pH, and increased transepidermal water loss. This leads to the characteristic xerosis and scaling seen with the disease. Patients with ichthyosis vulgaris may be at a greater risk for skin cancer, which emphasizes the importance of complete skin examinations in this patient population. Prior literature has not addressed potential challenges that arise when performing complete skin examinations in patients with ichthyosis vulgaris—primarily, that dermatoscopic visualization can be obscured by hyperkeratosis. This case highlights the importance of keratolytic use before skin examinations in patients with ichthyosis vulgaris.
{"title":"Impaired Dermatoscopic Visualization in a Patient With Ichthyosis Vulgaris Undergoing Complete Skin Examination","authors":"Brenna G. Kelly, Mitchell Herold, C. Curiel-Lewandrowski","doi":"10.1097/JDN.0000000000000734","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000734","url":null,"abstract":"ABSTRACT Ichthyosis vulgaris is an inherited disease caused by loss of function mutations in the filaggrin encoding gene. This mutation results in decreased skin hydration, elevated skin surface pH, and increased transepidermal water loss. This leads to the characteristic xerosis and scaling seen with the disease. Patients with ichthyosis vulgaris may be at a greater risk for skin cancer, which emphasizes the importance of complete skin examinations in this patient population. Prior literature has not addressed potential challenges that arise when performing complete skin examinations in patients with ichthyosis vulgaris—primarily, that dermatoscopic visualization can be obscured by hyperkeratosis. This case highlights the importance of keratolytic use before skin examinations in patients with ichthyosis vulgaris.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77160969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-06DOI: 10.1097/jdn.0000000000000735
Brittany L. Berlin, R. Sarro
{"title":"Erythematous Papules and Nodules on the Left Arm","authors":"Brittany L. Berlin, R. Sarro","doi":"10.1097/jdn.0000000000000735","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000735","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85376824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-06DOI: 10.1097/jdn.0000000000000737
Soneet Dhillon, E. Lake
{"title":"Excimer Laser 308 nm","authors":"Soneet Dhillon, E. Lake","doi":"10.1097/jdn.0000000000000737","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000737","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90804519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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