Recommendations for Patients |
Perform routine skin examinations and report any new and/or changes of existing skin lesions to health care providers. |
Sunscreen (sun protection factor 30 or greater) should be applied to skin, regardless of complexion, during periods of prolonged exposure, especially during peak hours of sunlight (10 am–2 pm). |
Wear sunglasses that have UV-absorbing lenses. |
Avoid tanning booths. |
Recommendations for Clinicians |
Pigmented lesions in people of color, particularly those of mucosal, palmar, plantar, and subungual surfaces, should be monitored closely and biopsied if any enlargement or ulceration is noted. |
Hyperkeratotic or poorly healing lesions in people of color with chronic discoid lupus erythematosus should be biopsied. |
Nonhealing ulcers on skin of color, regardless of original etiology, of significant duration should be biopsied. |
Atypical appearing keloids and those appearing in atypical nontraumatized locations on skin of color or in nontension areas should be evaluated. |
CTCL should be included in the differential diagnosis of hypopigmentation disorders of people of color. |