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October 15, 1960


JAMA. 1960;174(7):915. doi:10.1001/jama.1960.03030070093028

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To the Editor:—  At the turn of the century pathologists saw skin malignancy of the face and neck associated with long-continued exposure to wind and sun. The patients were frequently sea captains, long-time market fishermen, and farmers. Today, these same malignancies are found even more frequently, and the patients usually give a history of continued summer exposure of the skin with the sole objective of a fashionable summer tan. "Smog" may possibly be an added factor to an inflamed skin.In moderation, exposure to the sunrays presumably benefits the individual. Overexposure year after year certainly does the skin no good. It is recognized that a brunette skin is usually more tolerant, but the blonde skin usually reacts with freckles, then larger brown splotches, and a leathery type of brown skin. This last change is not reversible and certainly is far removed from the lovely, smooth, soft skin of the young

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