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- Title
Interventional Three-year Longitudinal Study of Melanocytic Naevus Development in Pre-school Children in Dresden, Saxony.
- Authors
WOLLINA, Uwe; HELM, Catherine; BENNEWITZ, Annett; KOCH, Rainer; SCHAFF, Kathrin; BURRONI, Marco
- Abstract
Acquired melanocytic naevi (MN) are considered a risk factor for melanoma. Exposure to ultraviolet light (UV) is the major environmental factor for MN. UV protection is most critical in pre-school children. This 3-year interventional longitudinal study examined 395 3-year-old children attending daycare centres (DCC) in Dresden, Germany. Photo-skin type, eye and hair colour were recorded. DCC were randomly assigned to a control group and a behavioural intervention group. All children had a regular naevus check-up, including digital objective analysis with Dell'Eva-Burroni Dermoscopy Melanoma Image Processing Software (DB-MIPS) technology. Parents of children in the intervention group received additional guidance for sun-protection. The mean total MN counts of both groups at the start of the study period were 7.19±4.55 (intervention) and 6.84±4.63 (control), respectively. There was a significant increase in MN counts for both groups (mean 12.5 and 13.8). Subgroup analysis for skin type, eye colour, and hair colour did not demonstrate a significant influence on MN counts. The DB-MIPS integrated classifier revealed no risky lesions while analysing their patterns. Intervention did not reduce the number of newly acquired MN. MN counts in pre-school children were approximately 5 times higher than expected from previous large studies in Germany. This is the first study in pre-school children using objective digital image analysis of pigmented lesions. No atypical lesions were observed. New approaches to UV protection in pre-school children are now required.
- Subjects
NEVUS; MELANOMA; PHYSIOLOGICAL effects of ultraviolet radiation; DISEASES; PRESCHOOL children; DERMATOLOGY; CANCER risk factors
- Publication
Acta Dermato-Venereologica, 2014, Vol 94, Issue 1, p63
- ISSN
0001-5555
- Publication type
Article
- DOI
10.2340/00015555-1665