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Screw or Spring?

David Hill, PhD; Robin Marks, MBBS, MPH, FRACP, FACD

Arch Dermatol. 2008;144(4):538-540.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Every day in their clinical practice, dermatologists see the ravages of excessive sun exposure—prematurely aged skin with all its changes, solar keratoses, basal cell (BCC) and squamous cell (SCC) carcinomas and, of course, melanoma. It is tempting to respond as a professional by simplifying and "toughening up" the message to "get through" to an obdurate public.

We know of leading, well-intentioned dermatologists who advise all patients to apply sunscreen to all exposed skin all day every day of the year to achieve the required level of protection. But the world has always been complicated for those would who carry the "sunsmart" message (see "Additional Information" for more about SunSmart), and it is becoming still more complicated.

From an evolutionary viewpoint, sun exposure as a source of vitamin D has survival value. Colleagues in neurology, endocrinology, and, more recently, oncology have become . . . [Full Text of this Article]

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