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Age related macular degeneration and sun exposure, iris colour, and skin sensitivity to sunlight.

BACKGROUND/AIM: It has been suggested that sun exposure may be a risk factor for age related macular degeneration (AMD) and that skin sensitivity to sunlight and iris colour could be confounding factors. The aim was to investigate this further in the white population. METHODS: 446 cases with end stage AMD were compared with 283 spouse controls. Data on sun exposure, places of residence, iris colour, subjective assessment of change in iris colour, hair colour at age 20, and skin sensitivity were obtained using a questionnaire. Iris colour was graded clinically by comparison with standard photographs. AMD was graded using stereoscopic colour fundus photographs as well as clinical examination and was defined as the presence of geographic atrophy or choroidal neovascularisation. All variables were included in a multiple logistic regression model including age, sex, and smoking. RESULTS: There was no association between AMD and sun exposure or related factors except for the suggestion of an association between sunburn prone skin type and geographic atrophy which reached borderline significance. CONCLUSIONS: No significant association between AMD and sun exposure, iris colour, change in iris colour, or hair colour was demonstrated.

Aged↗

[Actinic cheilitis in Quinta fishing workers: prevalence and associated histopathological aspects].

The purpose of the present investigation was to study the occurrence and degree of severity of the actinic cheilitis in a sample of 566 artisan fishermen of Valparaíso, Chile. The condition was found in 43% of the sample, the degree of severity was an 8% for the acute expression and a 35% for the chronic type of the disease. A direct relationship between the number of years spent on sun exposure and the degree of severity of the vermillion alterations was found, being the patients between 16 and 45 years old the group most severely involved, a finding similar to the data reported in the current literature. The prone complexion was the fair one: those fishermen with blond or red hair, blue or green eyes and fair skin showed both clinical and histopathologically early disturbances of degenerative nature in the collagenous component of the connective tissue and in the epithelial surface.

Adult↗

[Adverse drug reactions on hair].

Adverse drug reactions on the hair are common side effects. The spectrum of loss of hair reaches from diffuse telogen effluvium up to circumscribed or diffuse alopecia on the scalp, sometimes also including other body areas. Other side effects observed are the stimulation of hair growth with hypertrichosis and induction or worsening of hirsutism, as well as changes of the structure or color of the hair. In most cases--other than those treated with cytostatics, androgens, or hormonal contraceptives with some androgenic effect--it is rather difficult to determine the time of onset and primary cause, since the diffuse types often start subclinically, and other factors may play an additional part. As a rule, adverse drug reactions are reversible provided the causative drug is avoided.

Alopecia↗

Eye and hair colour, skin type and constitutive skin pigmentation as risk factors for basal cell carcinoma and cutaneous malignant melanoma. A Danish case-control study.

To assess the importance of hair and eye colour, skin type and constitutive skin pigmentation as risk factors for basal cell carcinoma and cutaneous malignant melanoma in fair-skinned Caucasians, we conducted two identical case-control studies in Denmark. We studied 145 cases with basal cell carcinoma and 174 matched controls, and 168 cases with cutaneous malignant melanoma and 176 matched controls. Controls were matched on age, gender and place of residence. Subjects indicated their hair colour before 7 years of age, and at 25 years of age and their skin phototype. Interviewers assessed the present hair colour and eye colour, and the constitutive skin pigmentation was measured objectively by skin reflectance of UV unexposed buttock skin. There were no differences between basal cell carcinoma cases and controls in hair colour or eye colour or constitutive skin pigmentation, but more cases were of skin type II than skin type IV; skin type 11 was a risk factor for basal cell carcinoma with an odds ratio (OR) of 2.3. For cutaneous malignant melanoma, more cases than controls were red-haired or blond and of skin type II, but there was no difference in constitutive skin pigmentation. Hair colour and skin type were found to be independent risk factors for cutaneous malignant melanoma; red hair vs. black/brown: OR >9.7, blond hair vs. brown/black: OR = 2.4, and skin type 11 vs. type IV: OR=2.0. There were no gender-related differences in risk factors for basal cell carcinoma and cutaneous malignant melanoma.

Adult↗

Misclassification due to body hair and seasonal variation on melanin density estimates for skin type using spectrophotometry.

Recent advances have enabled quite accurate estimations of cutaneous melanin density by spectrophotometry using reflectance of light at wavelengths 400 and 420 nm. Our purpose was to assess the effect of body hair and seasonal variation at the upper inner arm and buttock on measurements of melanin density. We estimated melanin density of 104 volunteers at 3-monthly intervals over 12 months both before and after shaving. Removing body hair at the upper inner arm had no effect, but substantially reduced melanin estimates at the buttock in men. Significant seasonal variation was only observed at the upper inner arm, with highest readings in summer-autumn. In case-control studies, misclassification due to body hair at the buttock and seasonal variation at the upper inner arm could affect the observed odds ratio substantially. However, both sources of error can be reduced by careful attention to key aspects of study design.

Adult↗

Prevalence of pterygium and pinguecula: the Blue Mountains Eye Study.

PURPOSE: The present study aimed to describe the prevalence of pterygium and pinguecula in an older population and to examine associations with skin, hair and eye colour, skin sun sensitivity, sun-related skin damage and skin cancer METHODS: The Blue Mountains Eye Study examined 3564 people aged 49 years or older Slit-lamp examination recorded pterygium and pinguecula and a questionnaire was used to collect information on physical variables. RESULTS: Two hundred and sixty-six subjects (7.3%) had pterygium (or had a history of pterygium surgery) and 2521 (69.5%) had pinguecula present in either eye. Significantly more men (11%) than women (4.5%) had pterygium (odds ratio (OR) 2.63; 95% confidence interval (CI) 2.03-3.42). This sex difference was aso found for pinguecula, present in 73.6 and 66.3% of men and women, respectively (OR 1.5; 95% CI 1.3-1.7). A s ight age-related increase in prevalence was found for both pterygium and pinguecula. CONCLUSIONS: The study found significant associations between pterygium and increased pigmentation (skin and hair colour), decreased skin sun sensitivity and sun-related skin damage. The age- and sex-specific pterygium prevalence rates in the present study are simi ar to rates found in non-Aboriginals examined in the 1980 Australian Trachoma Programme.

Age Factors↗

Relation between phenotype and banal melanocytic naevi.

In a study of risk factors for the development of melanocytic naevi in relation to the pathogenesis of malignant melanoma 197 white adults were examined by four dermatologists and naevus counts correlated with several other features. Highly significant associations were found between large numbers of banal acquired melanocytic naevi and the ability to tan easily without burning (skin types 3 and 4; relative risk 4.6), brown or hazel eyes (relative risk 3.5), green or grey eyes (relative risk 3.5) and brown or black hair (relative risk 3.7). No significant associations with numbers of naevi were shown for parity or use of oral contraceptives or other steroid hormones. This is the first study to find any relation between melanocytic naevi and phenotypic factors in a white population.

Adolescent↗

Interdependence of eye and hair colour, skin type and skin pigmentation in a Caucasian population.

Eye colour, hair colour and skin colour are important risk factors for malignant melanoma and non-melanoma skin cancers. There are few studies in which the distribution of these pigmentary factors in risk populations has been assessed. The purpose of this study was to investigate the prevalence of the major eye and hair colours and the distribution of skin types and skin pigmentation in a Caucasian population. In 892 Danish Caucasians, eye colour, hair colour and skin type were assessed and facultative and constitutive skin pigmentation were measured objectively using skin reflectance spectroscopy. Blue eye colour and blond hair colour and skin type II were the most frequent (60%, 67% and 33% of subjects, respectively). All four major eye colours and four major hair colours (with the exception of red hair colour) were found within skin types I-IV and we could not predict the skin type or the constitutive skin pigmentation. Skin type could not be taken to classify individuals reliably according to their facultative or constitutive skin pigmentation.

Adolescent↗

Interaction of the murine dilute suppressor gene (dsu) with fourteen coat color mutations.

The murine dilute suppressor gene, dsu, was previously shown to suppress the dilute coat color phenotypes of mice homozygous for the dilute (d), leaden (ln), and ashen (ash) mutations. Each of these mutations produce adendritic melanocytes, which results in an abnormal transportation of pigment granules into the hair shaft and a diluted coat color. The suppression of each mutation is associated with the restoration of near normal melanocyte morphology, indicating that dsu can compensate for the absence of normal d, ln and ash gene products. In experiments described here, we have determined whether dsu can suppress the coat color phenotype of 14 additional mutations, at 11 loci, that affect coat color by mechanisms other than alterations in melanocyte morphology. In no case was dsu able to suppress the coat color phenotype of these 14 mutations. This suggests that dsu acts specifically on coat color mutations that result from an abnormal melanocyte morphology. Unexpectedly, dsu suppressed the ruby eye color of ruby-eye (ru) and ruby-eye-2 (ru-2) mice, to black. The exact nature of the defect producing these two mutant phenotypes is unknown. Histological examination of the pigmented tissues of the eyes of these mice indicated that dsu suppresses the eye color by increasing the overall level of pigmentation in the choroid but not the retinal pigmented epithelium. Choroid melanocytes, like those in the skin, are derived from the neural crest while melanocytes in the retinal pigmented epithelium are derived from the optic cup. This suggests that dsu may act specifically on neural crest-derived melanocytes. These studies have thus identified a second group of genes whose phenotypes are suppressed by dsu and have provided new insights into the mechanism of action of dsu.

Animals↗

Waardenburg syndrome type 2 caused by mutations in the human microphthalmia (MITF) gene.

Waardenburg syndrome type 2 (WS2) is a dominantly inherited syndrome of hearing loss and pigmentary disturbances. We recently mapped a WS2 gene to chromosome 3p12.3-p14.1 and proposed as a candidate gene MITF, the human homologue of the mouse microphthalmia (mi) gene. This encodes a putative basic-helix-loop-helix-leucine zipper transcription factor expressed in adult skin and in embryonic retina, otic vesicle and hair follicles. Mice carrying mi mutations show reduced pigmentation of the eyes and coat, and with some alleles, microphthalmia, hearing loss, osteopetrosis and mast cell defects. Here we show that affected individuals in two WS2 families have mutations affecting splice sites in the MITF gene.

Amino Acid Sequence↗

Seasonal variations of pigmented naevi. Intercorrelations of clinical and histological variables with special reference to seasonal variation.

During 1984, junctional and compound naevi were registered significantly more often during the summer half-year (May-October) than the total number of naevi, which showed no seasonal variation. A series of 342 of these junctional and compound naevi have been the subject of a blind histological classification. Clinical information was obtained by a questionnaire mailed to the patients. The intercorrelations of 19 histological and 10 clinical variables were studied by chi 2-test. The seasonal variation of these variables was further studied by chi 2-test and by Hewitt's test. Patient's hair colour, eye colour and sex as well as mitoses and localization showed a significant correlation to season of the year. The trends of these findings, compared with the information about tumour duration, indicate a short-term latency effect of UV light on naevi which are excised during the summer half-year.

Adolescent↗

The influence of color, age, and sex on the content of zinc, copper, nickel, manganese, and lead in human hair.

The hair of 132 healthy subjects between 6 and 40 yr old living in the Veneto region in Italy was analyzed by means of HPLC method in order to determine the presence of zinc, copper, nickel, manganese, and lead. The collected samples were subdivided on the basis of age (6-11 and 19-40 yr), and sex and color (black, red, brown, and blond). From the data some evident differences were emphasized. In female hair the content of metals was higher than in male hair independently of color. Blond hair gave the lowest concentration values of the elements studied independently of sex. The maximum amount of the metals was found generally in black hair, followed by red and brown hair. Age seems to have a different influence, with the copper element decreasing appreciably in brown and blond female hair as the age of the subjects increased.

Adolescent↗

Factors associated with conjunctival intraepithelial neoplasia: a case control study.

Familial and environmental factors may play a role in the development of conjunctival intraepithelial neoplasia (CIN). Nineteen patients with biopsy-proven CIN completed a questionnaire to evaluate possible predisposing factors. Nineteen age-matched and sex-matched controls completed questionnaires and received slit-lamp examinations. Factors associated with a relatively increased risk of developing CIN included exposure to petroleum products, heavy cigarette smoking, light hair and ocular pigmentation, and family origin in the British Isles, Austria or Switzerland. Non-office and nonprofessional workers were more likely to develop conjunctival intraepithelial neoplasia (p = .05), as were those who were not college graduates (p = .07).

Aged↗

Fair complexion and risk of malignant melanoma of the skin based on experience from the Danish Cancer Registry.

Our Danish study shows that many pigmented naevi, a tendency to freckle and light hair colours are significant, important, and independent host factors which increase the risk of development of malignant melanoma of the skin. These results are in line with what has been consistently shown in previous and in more recent case-control studies. Light hair colour may be a measure of light complexion. The finding that individuals with a large number of naevi, a tendency to freckle and a sensitive skin constitute a risk group may be of importance. Such individuals could be warned about signs of early melanoma development and be instructed to avoid excessive sun exposure, especially damaging sunburn, with the aim of reducing melanoma mortality and melanoma incidence, respectively.

Adult↗

Five-year incidence of age-related maculopathy in relation to iris, skin or hair colour, and skin sun sensitivity: the Blue Mountains Eye Study.

This study aimed to assess longitudinal associations between iris,hair and skin colour, plus skin sensitivity to sun and the 5-year incidence of age-related maculopathy (ARM). Of 3654 baseline Blue Mountains Eye Study participants (aged 49+ years), 2335 survivors (75.1%) were re-examined after 5 years. Retinal photographs were graded using the Wisconsin ARM Grading System and incident ARM lesions confirmed using side-by-side grading.Iris/skin/hair colour was assessed and skin sensitivity questions were asked at baseline. After adjusting for age, sex and smoking, no significant associations were found between iris or hair colour and incident late or early ARM. Compared to persons with fair skin, those with very fair skin had an increased risk of developing geographical atrophy (odds ratio [OR] 3.5,95% confidence interval [CI] 1.2-10.4).However, persons with sun-related skin damage were less likely than those without to develop indistinct soft drusen (OR 0.6, 95% CI 0.4-0.9). Longitudinal data provide no support for the previously reported cross-sectional association between iris colour and ARM.

Eye Color↗