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ARTICLE |

An Exacerbation of SLE After Visiting a Tanning Salon FREE

Robert S. Stern, MD; William Docken, MD
JAMA. 1986;255(22):3120-3120. doi:10.1001/jama.1986.03370220082029
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To the Editor.—  The public's desire to achieve a tan is reflected in the proliferation of commercial tanning salons. For example, in the 1980 Boston Yellow Pages there were no listings for tanning salons. By 1983, there were 24 such listings, and by 1985 there were 58. In its 1985 Yellow Pages advertisement, the largest of the tanning salon chains in Boston states that it provides a "guaranteed tan in six visits," and is "safer than the sun." Our patient's experience, and experimental findings, provide increasing evidence that exposure to ultraviolet light in the A range (UVA) in tanning salons is harmful and can be especially dangerous to certain patients.

Report of a Case.—  A 30-year-old woman was referred for evaluation of a rash of approximately two weeks' duration. After several years of intermittent polyarthralgias, a diagnosis of systemic lupus erythematosus (SLE) was finally made in January 1984. At this

REFERENCES

Bruze M, Forsgren A, Ljunggren B:  Antinuclear antibodies in mice induced by long wave ultraviolet radiation (UVA) . Acta Derm Venereol 1985;;65:25-30.
Hersey P, Haran G, Hasic E, et al:  Alteration of T cell subsets and induction of suppressor T cell activity in normal subjects after exposure to sunlight . J Immunol 1983;;131:171-174.
Zamansky GB, Minka DF, Deal CL, et al:  The in vitro photosensitivity of systemic lupus erythematosus skin fibroblasts . J Immunol 1985;;134:1571-1576.
Golan DT, Borel Y:  Increased photosensitivity to near-ultraviolet light in murine SLE . J Immunol 1984;; 132:705-710.
Staberg B, Wulf HC, Poulsen T, et al:  Carcinogenic effect of sequential artificial sunlight and UV-A irradiation in hairless mice . Arch Dermatol 1983;;119:641-643.
Kligman LH, Kligman AM:  The effect of UVA on dermal connective tissue of hairless mice , abstracted. Photochem Photobiol 1985;;41( (suppl) ):4S.

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Bruze M, Forsgren A, Ljunggren B:  Antinuclear antibodies in mice induced by long wave ultraviolet radiation (UVA) . Acta Derm Venereol 1985;;65:25-30.
Hersey P, Haran G, Hasic E, et al:  Alteration of T cell subsets and induction of suppressor T cell activity in normal subjects after exposure to sunlight . J Immunol 1983;;131:171-174.
Zamansky GB, Minka DF, Deal CL, et al:  The in vitro photosensitivity of systemic lupus erythematosus skin fibroblasts . J Immunol 1985;;134:1571-1576.
Golan DT, Borel Y:  Increased photosensitivity to near-ultraviolet light in murine SLE . J Immunol 1984;; 132:705-710.
Staberg B, Wulf HC, Poulsen T, et al:  Carcinogenic effect of sequential artificial sunlight and UV-A irradiation in hairless mice . Arch Dermatol 1983;;119:641-643.
Kligman LH, Kligman AM:  The effect of UVA on dermal connective tissue of hairless mice , abstracted. Photochem Photobiol 1985;;41( (suppl) ):4S.
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