dermatoheliosis (photoaging, skin aging)

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Introduction

Polymorphic response of epidermal cells, dermal connective tissue & vascular system to prolonged &/or excessive exposure to ultraviolet radiation.

Etiology

Epidemiology

  • whites
  • most often in individuals > 40 years of age
  • higher incidence in males
  • people living in high altitudes & low latitudes
  • individuals with outside occupation
  • individuals with inability to tan

Pathology

Genetics

Clinical manifestations

Complications

Differential diagnosis

Management

More general terms

More specific terms

References

  1. Color Atlas & Synopsis of Clinical Dermatology, Common & Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY, 1997, pg 232-35
  2. Jump up to: 2.0 2.1 2.2 Elfakir A et al. Functional MC1R-gene variants are associated with increased risk for severe photoaging in facial skin. J Invest Dermatol 2010 Apr; 130:1107. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19924138
  3. Sanclemente G et al. A prospective split-face double-blind randomized placebo- controlled trial to assess the efficacy of methyl aminolevulinate + red-light in patients with facial photodamage. J Eur Acad Dermatol Venereol 2011 Jan; 25:49 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20456545
  4. Jump up to: 4.0 4.1 Le Clerc S et al. A genome-wide association study in Caucasian women points out a putative role of the STXBP5L gene in facial photoaging. J Invest Dermatol 2013 Apr; 133:929. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23223146
  5. Jump up to: 5.0 5.1 Hughes MCB et al Sunscreen and Prevention of Skin Aging: A Randomized Trial. Ann Intern Med. 2013;158(11):781-790 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/23732711 <Internet> http://annals.org/article.aspx?articleid=1691733
  6. Medical Knowledge Self Assessment Program (MKSAP) 16, 17. American College of Physicians, Philadelphia 2012, 2015.
  7. Jump up to: 7.0 7.1 7.2 Habib MA et al. Comparative immunohistochemical assessment of cutaneous cyclooxygenase-2 enzyme expression in chronological aging and photoaging. Photodermatol Photoimmunol Photomed 2014 Feb; 30:43 PMID: https://www.ncbi.nlm.nih.gov/pubmed/24393208
  8. Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
  9. Jump up to: 9.0 9.1 9.2 9.3 Helfrich YR et al. Clinical, histologic, and molecular analysis of differences between erythematotelangiectatic rosacea and telangiectatic photoaging. JAMA Dermatol 2015 Mar 23; [e-pub]. PMID: https://www.ncbi.nlm.nih.gov/pubmed/25798811
    Wilkin JK. Erythematotelangiectatic rosacea and telangiectatic photoaging: Same, separate, and/or sequential? JAMA Dermatol 2015 Mar 23 PMID: https://www.ncbi.nlm.nih.gov/pubmed/25798736
  10. Jump up to: 10.0 10.1 Praetorius C, Sturm RA, Steingrimsson E Sun-induced freckling: ephelides and solar lentigines Pigment Cell Melanoma Res. 2014 May;27(3):339-50 PMID: https://www.ncbi.nlm.nih.gov/pubmed/24517859 Review.
  11. Sunlight, Ultraviolet Radiation, and the Skin http://consensus.nih.gov/cons/074/074_intro.htm