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September 2016

Focal Photodamage on the Occipital Scalp

Author Affiliations
  • 1Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia
  • 2Division of Dermatology, Atlanta Veterans Affairs Medical Center, Decatur, Georgia
JAMA Dermatol. 2016;152(9):1060-1062. doi:10.1001/jamadermatol.2016.0733

Baseball caps are commonly worn in the United States, in part for photoprotection. Public health efforts to prevent skin cancers recommend wide-brimmed hats over baseball caps owing to caps’ incomplete coverage for face, neck, and ears; however, to our knowledge, their relative efficacy for scalp photoprotection has not been investigated. We report a case of focal chronic photodamage and actinic keratoses on a patient’s alopecic scalp despite his adherence to baseball cap use for photoprotection.

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