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| __NOTOC__ | | __NOTOC__ |
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| | {{CMG}}; {{AE}} {{S.M.}} |
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| {{CMG}}; {{AE}} {{S.M.}}
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| {| class="wikitable"
| | <ref name="pmid27261907">{{cite journal| author=Mao Y, Yang D, He J, Krasna MJ| title=Epidemiology of Lung Cancer. | journal=Surg Oncol Clin N Am | year= 2016 | volume= 25 | issue= 3 | pages= 439-45 | pmid=27261907 | doi=10.1016/j.soc.2016.02.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27261907 }} </ref> |
| |+Knowing individual skin type and using the right sunscreen accordingly
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| ! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|'''Skin type by the Fitzpatrick Scale'''}}
| | [[File:Atypical Bcell gif.gif|thumb|200px|none|High-power field of peripheral blood smear revealing a large, atypical B cell with mild cytoplasmic expansion, coarse chromatin, multiple distinct nucleoli and peripheral vacuolation.[https://openi.nlm.nih.gov/detailedresult.php?img=PMC2944189_1752-1947-4-300-2&query=waldenstrom+macroglobulinaemia&it=xg&req=4&npos=17 Source: Charakidis M. et al, Department of Haematology-Oncology, Royal Hobart Hospital, Tasmania, 7000, Australia.]]] |
| ! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|'''Skin color'''}}
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| ! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|'''Skin tone or other common descriptors'''}}
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| ! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|'''Sun exposure effects''' }}
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| ! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|'''Recommended sunscreen SPF''' }}
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''I''' | |
| |Pale white | |
| |Pale or albino, freckles common (Celtic) | |
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| * Always burns
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| * Never tans
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| | rowspan="2" |30+
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''II'''
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| |White
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| |Light or fair (European)
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| * Always burns
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| * Rarely tans
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''III'''
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| |White
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| |Light‐intermediate (Dark European)
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| * Sometimes burns
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| * Sometimes tans
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| | rowspan="4" |15+
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''IV'''
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| |Light brown
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| |Olive with/without brown tint (Mediterranean)
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| * Tans easily
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| * Burns less
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''V'''
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| |Dark brown
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| |Brown
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| * Tans easily
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| * Rarely burns
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |'''VI'''
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| |Black
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| |Black
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| * Does not burn
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| |}
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| {| class="wikitable" | | {| |
| |+Different sunscreen recommendations and recommendations' grading according to Canadian Task Force on Preventive Health Care (CTFPHC) GRADE System | | |+'''Classification of Waldenstrom macroglobulinemia (WM) and Related Disorders''' |
| ! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Sunscreen property}} | | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Criteria |
| ! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Recommendation}} | | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Symptomatic WM |
| ! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Grade of Recommendations}} | | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Asymptomatic WM |
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| | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |IgM-Related Disorders |
| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" | SPF (Sun Protection Factor)
| | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |MGUS |
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| *An ideal sunscreen should have the following properties:
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| **Broad-spectrum
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| **Both UVA & UVB filters
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| **Atleast SPF 30
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| *Strongly recommended
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Water resistance
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| *Sunscreen providing water-resistance for 40-80 minutes must be worn in following conditions:
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| **Water immersion
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| **Excessive sweating
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| **Contact with sand
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| **Physical contact causing increased skin friction
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| *Strongly recommended
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Organic vs inorganic sunscreens
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| *Whether the components of sunscreen are organic or inorganic, recommended sunscreen must be broad spectrum with both UVA & UVB filters
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| *Strongly recommended
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Lip protection
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| *Whole lip should be generously covered by high-SPF (>/= 30) and reapplication of lip sunscreen
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| *Strongly recommended
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Sunscreen application
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| *Sunscreen is recommended to be applied according to following guidelines:
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| **Should be applied liberally (approximately 45 ml) to all the exposed areas
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| **Strong reapplication within a period of 8 hours is mandatory only after activities that may remove the sunscreen layer such as sweating, swimming, or friction
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| **Should be applied before any sun exposure and at least 20 minutes before the water activities
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| *Strongly recommended
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| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Patient education on sunscreen
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| *Patients should be educated about the meaning of SPF and its effectivesness
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| *Strongly recommended
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| |- | | |- |
| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Sunscreen safety | | ! align="center" style="background:#DCDCDC;" + |IgM monoclonal protein |
| | | | | style="background:#F5F5F5;" align="center" + | + |
| *Sunscreens have a favorable risk-benefit profile, hence, are considered to be safe overall
| | | style="background:#F5F5F5;" align="center" + | + |
| *There is still a risk of following few complications due to sunscreen application in some people:
| | | style="background:#F5F5F5;" align="center" + | + |
| **Photoallergy (most common, but quite rare)
| | | style="background:#F5F5F5;" align="center" + | + |
| **Reproductive toxicity
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| *Strongly recommended
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| |- | | |- |
| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Sunscreen benefits | | ! align="center" style="background:#DCDCDC;" + |Bone marrow infiltration |
| | | | | style="background:#F5F5F5;" align="center" + | + |
| *Prevents photoaging
| | | style="background:#F5F5F5;" align="center" + | + |
| *Prevents melanoma and non–melanoma skin cancer
| | | style="background:#F5F5F5;" align="center" + | - |
| | | | | style="background:#F5F5F5;" align="center" + | - |
| *Strongly recommended
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| |- | | |- |
| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Sunscreen vehicle | | ! align="center" style="background:#DCDCDC;" + |Symptoms attributable to IgM |
| | | | | style="background:#F5F5F5;" align="center" + | + |
| *Highest SPF and water resistance properties of sunscreen can be obtained by using a '''water-in-oil emulsion''' formulation for sunscreens
| | | style="background:#F5F5F5;" align="center" + | - |
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| | | style="background:#F5F5F5;" align="center" + | + |
| *Weakly recommended
| | | style="background:#F5F5F5;" align="center" + | - |
| |- | | |- |
| | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Expiry date | | ! align="center" style="background:#DCDCDC;" + |Symptoms attributable to tumor infiltration |
| | | | | style="background:#F5F5F5;" align="center" + | + |
| *Avoid using sunscreens past the manufacturer-specified expiry date/recommended period after opening
| | | style="background:#F5F5F5;" align="center" + | - |
| *Sunscreens should be stored at normal room temperature in order to ensure their proper stability
| | | style="background:#F5F5F5;" align="center" + | - |
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| | | style="background:#F5F5F5;" align="center" + | - |
| *Weakly recommended
| | |}<br /> |
| |} | |
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| ==References== | | ==Reference== |
| {{Reflist|2}} | | {{Reflist|2}} |