Clinical-epidemiological Characterization of Patients with Chronic Actinic Damage in Las Tunas Province
Keywords:
radiation, actinic damage, photodamage, melasma, lentigo.Abstract
Introduction: Chronic actinic damage is a group of alterations in the structure, function and appearance of the skin as a result of prolonged and uncontrolled exposure to ultraviolet radiation, other radiation and the use of inadequate sun protection, which can lead to skin carcinomas.
Objective: To characterize patients with chronic actinic damage seen in Dermatology consultation in the province of Las Tunas.
Methods: A descriptive, cross-sectional, observational study was carried out in a sample of 1720 patients diagnosed with chronic actinic damage, in the period from December 2019 to June 2020. The variables age, gender, skin color, skin phototype, occupation, use of sunscreen and sunscreen according to skin type, exposure to radiation and clinical characteristics of photodamage lesions were evaluated. The information obtained was presented in tables and statistical graphs and for the description the variables are shown in percentages.
Results: The predominance of the age group 25-59 years (70.9%) without significant influence of gender, higher incidence of white skin color (98.8%), skin phototype II (64.1%) and government workers (65.1%). A 74.8% of the patients frequently use some type of sun protection, 25.2% do not use it. 99.8% were not exposed to other types of radiation. Photodamage lesions were actinic keratoses (71.2%) and solar lentigo (7.3%).
Conclusions: The predominant clinical manifestation of photodamage was actinic keratosis. Most of the patients did not use sunscreen and those who did, did not use it according to their skin type or recommended frequency. Most of the population studied reported using at least some type of protection.
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