Opinion EDITORIAL Challenges and Controversy in Determining UV Exposure as a Risk Factor for Cutaneous Melanoma in Skin of Color Nkanyezi N. Ferguson, MD Despite the lower prevalence of melanoma in people of color Assessment of risk factors based on melanoma subtype and compared with the White population, there is increased mor- location was not possible, as this information was not consis- tently reported in the articles reviewed. In addition, the con- bidity and mortality as evidenced by more advanced stage at 1,2 diagnosis and lower 5-year survival rates. This disparity per- clusions cannot be extrapolated to immunosuppressed per- sists in all racial minority sons, including transplant recipients, and individuals with groups with localized mela- established elevated melanoma risk, as these groups were ex- Related article noma and increasingly in His- cluded from the authors’ review. panic patients with regional or distant disease. Exposure to UV radiation, especially high intermittent exposure during Measuring UV Exposure Is Not an Easy or Reliable Task childhood, is a significant environmental risk factor for mela- How UV radiation exposure is determined in the literature var- noma in individuals with fair skin. However, for populations ies widely across studies. When evaluating the association be-
JAMA Dermatology – American Medical Association
Published: Feb 16, 2021
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