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Conclusions and perspectives


European Journal of Dermatology. Volume 11, Number 2, 174, March - April 2001, Compte-rendu de réunion


Summary  

Author(s) : André ROUGIER, International Scientific Manager, La Roche-Posay Pharmaceutical Laboratories, Asnières, France..

Summary : There is a statement in Genesis that "God created light and declared it to be good". However, "the deity was silent about ultra-violet light!" (A Kligman).

ARTICLE

There is a statement in Genesis that "God created light and declared it to be good". However, "the deity was silent about ultra-violet light!" (A Kligman).

The review on this subject, the research quoted and what we have heard during this symposium clearly show that repeated low doses of UV radiations are indeed damaging for the skin. Protection is required, but how?

For the majority of the population, it is important to use daily care products containing UV filtering systems. However, it is no easy task for consumers to incorporate all the frequently complicated parameters required for flawless protection against long term effects of solar radiation. As far as most consumers are concerned, the main deleterious effect of sun exposure is sunburn. They are not always aware of the long term effects which may be caused by repeated exposure to UVA radiations. Some manufacturers have taken advantage of this relative ignorance of the danger by highlighting the UVB protecting factor as an insurance of the good filtering capacities of their products.

Dermatologists as well as health authorities and cosmetic industries should now educate their patients or consumers in the use and selection of a good suncare product. The UVA protecting factor, determined by standardized and relevant methods should be an important criterium in this selection. The photostability of the filtering system should also be taken into consideration. Finally, given that repeated minor sun exposures account for 80% of the total lifetime, patients and consumers should be educated not to limit the use of sunscreens to outdoors or summer months. Thus, the goal of sun protection should not be limited to protection against acute effects such as sunburn or photodermatoses, but should also include prevention of long-term skin damage such as photoaging and skin cancers.

In the rapidly approaching 21st Century, it is estimated that fully 20% of the population in the developed nations of the world will be aged 65 years or older. Those aged 85 and older are already the fastest growing segment of these societies. Today, a new born baby girl has a 50% chance to celebrate her 100th birthday. Most laymen are aware that the deterioration in facial features, previously called premature aging, is really the cumulative effect of years of heedless exposures to the sun. Much more than appearance is involved since that same photoaged skin is the substrate for development of benign and malignant neoplasms. It results from this that the implications for health and the appearance of the skin are profound.


 

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