Ma. Richard et al., ROLE OF SUM EXPOSURE ON NEVUS - FIRST STU DY IN AGE, SEX AND PHENOTYPE CONTROLLED POPULATIONS, Annales de dermatologie et de venereologie, 121(9), 1994, pp. 639-644
Background. These studies were designed to assess the influence of sun
exposure on nevi in white people. In order to eliminate the confoundi
ng effect of age, sex and phenotype, two parallel studies were conduct
ed in people of the same age (17 to 24 years), sex (males) and phenoty
pe: one in people with ''red'' phenotype and one in people with ''dark
'' phenotype. Results. In both groups, comparison of nevus counts on t
he inner and outer side of the upper extremities and comparison of mea
n density of nevi (number per square meter) in always-exposed and neve
r-exposed skin show that number of nevi is higher in sun exposed areas
. In both groups the density of large and atypical nevi was maximal on
intermittently sun-exposed skin while the density of small nevi was m
aximal on always-exposed skin. The number of large nevi on intermitten
tly-exposed skin correlated with cumulative intensive exposure during
beach recreation in the red phenotype group. The number of large nevi
was significantly higher in red phenotypes who repeatedly experienced
severe sunburns in their first 20 years of life. Conclusions. The numb
er of nevi at the end of the second decade is influenced by cumulative
sun exposure from birth. ''Traumatizing'' sun exposure, which is more
frequent in ''red'' phenotype than in ''dark'' one, has an influence
on the number of large nevi and is therefore likely to make small nevi
grow.