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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Keratotic Skin Lesions and Other Risk Factors Are Associated with Skin Cancer in Organ-Transplant Recipients: A Case–Control Study in The Netherlands, United Kingdom, Germany, France, and Italy</title>
<author><name sortKey="Bouwes Bavinck, Jan N" sort="Bouwes Bavinck, Jan N" uniqKey="Bouwes Bavinck J" first="Jan N." last="Bouwes Bavinck">Jan N. Bouwes Bavinck</name>
<affiliation><nlm:aff id="A1">Departments of Dermatology and Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Euvrard, Sylvie" sort="Euvrard, Sylvie" uniqKey="Euvrard S" first="Sylvie" last="Euvrard">Sylvie Euvrard</name>
<affiliation><nlm:aff id="A2">Department of Dermatology, Hôpital Edouard Herriot, Lyon, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Naldi, Luigi" sort="Naldi, Luigi" uniqKey="Naldi L" first="Luigi" last="Naldi">Luigi Naldi</name>
<affiliation><nlm:aff id="A3">Ospedali Riuniti di Bergamo, Bergamo, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nindl, Ingo" sort="Nindl, Ingo" uniqKey="Nindl I" first="Ingo" last="Nindl">Ingo Nindl</name>
<affiliation><nlm:aff id="A4">University Clinic Charité, Berlin, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Proby, Charlotte M" sort="Proby, Charlotte M" uniqKey="Proby C" first="Charlotte M." last="Proby">Charlotte M. Proby</name>
<affiliation><nlm:aff id="A5">Bart's and The London NHS Trust, London, UK</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neale, Rachel" sort="Neale, Rachel" uniqKey="Neale R" first="Rachel" last="Neale">Rachel Neale</name>
<affiliation><nlm:aff id="A6">Queensland Cancer Fund, Brisbane, Australia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abeni, Damiano" sort="Abeni, Damiano" uniqKey="Abeni D" first="Damiano" last="Abeni">Damiano Abeni</name>
<affiliation><nlm:aff id="A7">Istituto Dermopatico dell'Immacolata, IDI-IRCCS, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tessari, Gian P" sort="Tessari, Gian P" uniqKey="Tessari G" first="Gian P." last="Tessari">Gian P. Tessari</name>
<affiliation><nlm:aff id="A8">Section of Dermatology, Department of Medical and Surgical Sciences, University of Verona, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Feltkamp, Mariet C W" sort="Feltkamp, Mariet C W" uniqKey="Feltkamp M" first="Mariet C. W." last="Feltkamp">Mariet C. W. Feltkamp</name>
<affiliation><nlm:aff id="A1">Departments of Dermatology and Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Claudy, Alain" sort="Claudy, Alain" uniqKey="Claudy A" first="Alain" last="Claudy">Alain Claudy</name>
<affiliation><nlm:aff id="A2">Department of Dermatology, Hôpital Edouard Herriot, Lyon, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Stockfleth, Eggert" sort="Stockfleth, Eggert" uniqKey="Stockfleth E" first="Eggert" last="Stockfleth">Eggert Stockfleth</name>
<affiliation><nlm:aff id="A4">University Clinic Charité, Berlin, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Harwood, Catherine A" sort="Harwood, Catherine A" uniqKey="Harwood C" first="Catherine A." last="Harwood">Catherine A. Harwood</name>
<affiliation><nlm:aff id="A5">Bart's and The London NHS Trust, London, UK</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">17380113</idno>
<idno type="pmc">2478722</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2478722</idno>
<idno type="RBID">PMC:2478722</idno>
<idno type="doi">10.1038/sj.jid.5700776</idno>
<date when="2007">2007</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Keratotic Skin Lesions and Other Risk Factors Are Associated with Skin Cancer in Organ-Transplant Recipients: A Case–Control Study in The Netherlands, United Kingdom, Germany, France, and Italy</title>
<author><name sortKey="Bouwes Bavinck, Jan N" sort="Bouwes Bavinck, Jan N" uniqKey="Bouwes Bavinck J" first="Jan N." last="Bouwes Bavinck">Jan N. Bouwes Bavinck</name>
<affiliation><nlm:aff id="A1">Departments of Dermatology and Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Euvrard, Sylvie" sort="Euvrard, Sylvie" uniqKey="Euvrard S" first="Sylvie" last="Euvrard">Sylvie Euvrard</name>
<affiliation><nlm:aff id="A2">Department of Dermatology, Hôpital Edouard Herriot, Lyon, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Naldi, Luigi" sort="Naldi, Luigi" uniqKey="Naldi L" first="Luigi" last="Naldi">Luigi Naldi</name>
<affiliation><nlm:aff id="A3">Ospedali Riuniti di Bergamo, Bergamo, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nindl, Ingo" sort="Nindl, Ingo" uniqKey="Nindl I" first="Ingo" last="Nindl">Ingo Nindl</name>
<affiliation><nlm:aff id="A4">University Clinic Charité, Berlin, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Proby, Charlotte M" sort="Proby, Charlotte M" uniqKey="Proby C" first="Charlotte M." last="Proby">Charlotte M. Proby</name>
<affiliation><nlm:aff id="A5">Bart's and The London NHS Trust, London, UK</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Neale, Rachel" sort="Neale, Rachel" uniqKey="Neale R" first="Rachel" last="Neale">Rachel Neale</name>
<affiliation><nlm:aff id="A6">Queensland Cancer Fund, Brisbane, Australia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abeni, Damiano" sort="Abeni, Damiano" uniqKey="Abeni D" first="Damiano" last="Abeni">Damiano Abeni</name>
<affiliation><nlm:aff id="A7">Istituto Dermopatico dell'Immacolata, IDI-IRCCS, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tessari, Gian P" sort="Tessari, Gian P" uniqKey="Tessari G" first="Gian P." last="Tessari">Gian P. Tessari</name>
<affiliation><nlm:aff id="A8">Section of Dermatology, Department of Medical and Surgical Sciences, University of Verona, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Feltkamp, Mariet C W" sort="Feltkamp, Mariet C W" uniqKey="Feltkamp M" first="Mariet C. W." last="Feltkamp">Mariet C. W. Feltkamp</name>
<affiliation><nlm:aff id="A1">Departments of Dermatology and Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Claudy, Alain" sort="Claudy, Alain" uniqKey="Claudy A" first="Alain" last="Claudy">Alain Claudy</name>
<affiliation><nlm:aff id="A2">Department of Dermatology, Hôpital Edouard Herriot, Lyon, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Stockfleth, Eggert" sort="Stockfleth, Eggert" uniqKey="Stockfleth E" first="Eggert" last="Stockfleth">Eggert Stockfleth</name>
<affiliation><nlm:aff id="A4">University Clinic Charité, Berlin, Germany</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Harwood, Catherine A" sort="Harwood, Catherine A" uniqKey="Harwood C" first="Catherine A." last="Harwood">Catherine A. Harwood</name>
<affiliation><nlm:aff id="A5">Bart's and The London NHS Trust, London, UK</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">The Journal of investigative dermatology</title>
<idno type="ISSN">0022-202X</idno>
<idno type="eISSN">1523-1747</idno>
<imprint><date when="2007">2007</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<profileDesc><textClass></textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><p id="P1">This study examines the association of keratotic skin lesions with the development of skin cancer in 915 solid organ-transplant recipients in five European countries. In a hospital-based case–control study, cases with squamous- and basal-cell carcinoma were compared with controls without skin cancer. Questionnaires, scrutiny of medical charts, and skin examination were delivered according to a standardized protocol. Keratotic skin lesions and viral warts were counted on different body sites. Keratotic skin lesions were strongly associated with an increased risk of squamous-cell carcinoma, with adjusted odds ratios of 4.1 (2.4;7.0) and 12.1 (6.1;24) for 1–49 and 50 and more keratotic skin lesions compared with no lesions, respectively. Keratotic skin lesions were also associated with basal-cell carcinoma with adjusted odds ratios of 2.9 (1.7;4.9) and 4.0 (1.7;9.2) for 1–49 and 50 and more lesions, respectively. Lighter skin types and painful sunburns were also significantly associated with an increased risk of squamous- and basal-cell carcinoma. Keratotic skin lesions are strongly associated with skin cancer and are, thus, an important clinical criterion for identifying those organ-transplant recipients at an increased risk of skin cancers who should be offered more intensive skin surveillance.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0426720</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4839</journal-id>
<journal-id journal-id-type="nlm-ta">J Invest Dermatol</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Invest. Dermatol.</journal-id>
<journal-title-group><journal-title>The Journal of investigative dermatology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0022-202X</issn>
<issn pub-type="epub">1523-1747</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">17380113</article-id>
<article-id pub-id-type="pmc">2478722</article-id>
<article-id pub-id-type="doi">10.1038/sj.jid.5700776</article-id>
<article-id pub-id-type="manuscript">UKMS1916</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Keratotic Skin Lesions and Other Risk Factors Are Associated with Skin Cancer in Organ-Transplant Recipients: A Case–Control Study in The Netherlands, United Kingdom, Germany, France, and Italy</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Bouwes Bavinck</surname>
<given-names>Jan N.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Euvrard</surname>
<given-names>Sylvie</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Naldi</surname>
<given-names>Luigi</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nindl</surname>
<given-names>Ingo</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Proby</surname>
<given-names>Charlotte M.</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neale</surname>
<given-names>Rachel</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Abeni</surname>
<given-names>Damiano</given-names>
</name>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tessari</surname>
<given-names>Gian P.</given-names>
</name>
<xref ref-type="aff" rid="A8">8</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Feltkamp</surname>
<given-names>Mariet C.W.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Claudy</surname>
<given-names>Alain</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Stockfleth</surname>
<given-names>Eggert</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Harwood</surname>
<given-names>Catherine A.</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><collab>The EPI-HPV-UV-CA group</collab>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Departments of Dermatology and Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands</aff>
<aff id="A2"><label>2</label>
Department of Dermatology, Hôpital Edouard Herriot, Lyon, France</aff>
<aff id="A3"><label>3</label>
Ospedali Riuniti di Bergamo, Bergamo, Italy</aff>
<aff id="A4"><label>4</label>
University Clinic Charité, Berlin, Germany</aff>
<aff id="A5"><label>5</label>
Bart's and The London NHS Trust, London, UK</aff>
<aff id="A6"><label>6</label>
Queensland Cancer Fund, Brisbane, Australia</aff>
<aff id="A7"><label>7</label>
Istituto Dermopatico dell'Immacolata, IDI-IRCCS, Rome, Italy</aff>
<aff id="A8"><label>8</label>
Section of Dermatology, Department of Medical and Surgical Sciences, University of Verona, Italy</aff>
<author-notes><corresp id="CR1">Correspondence: Dr. Jan Nico Bouwes Bavinck, Department of Dermatology, Leiden University Medical Center, Leiden, The Netherlands. E-mail: <email>J.N.Bouwes_Bavinck@lumc.nl</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>9</day>
<month>6</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub"><day>22</day>
<month>3</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="ppub"><month>7</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>22</day>
<month>7</month>
<year>2008</year>
</pub-date>
<volume>127</volume>
<issue>7</issue>
<fpage>1647</fpage>
<lpage>1656</lpage>
<permissions><copyright-statement>© 2007 The Society for Investigative Dermatology</copyright-statement>
<copyright-year>2007</copyright-year>
</permissions>
<abstract><p id="P1">This study examines the association of keratotic skin lesions with the development of skin cancer in 915 solid organ-transplant recipients in five European countries. In a hospital-based case–control study, cases with squamous- and basal-cell carcinoma were compared with controls without skin cancer. Questionnaires, scrutiny of medical charts, and skin examination were delivered according to a standardized protocol. Keratotic skin lesions and viral warts were counted on different body sites. Keratotic skin lesions were strongly associated with an increased risk of squamous-cell carcinoma, with adjusted odds ratios of 4.1 (2.4;7.0) and 12.1 (6.1;24) for 1–49 and 50 and more keratotic skin lesions compared with no lesions, respectively. Keratotic skin lesions were also associated with basal-cell carcinoma with adjusted odds ratios of 2.9 (1.7;4.9) and 4.0 (1.7;9.2) for 1–49 and 50 and more lesions, respectively. Lighter skin types and painful sunburns were also significantly associated with an increased risk of squamous- and basal-cell carcinoma. Keratotic skin lesions are strongly associated with skin cancer and are, thus, an important clinical criterion for identifying those organ-transplant recipients at an increased risk of skin cancers who should be offered more intensive skin surveillance.</p>
</abstract>
<funding-group><award-group><funding-source country="United Kingdom">Cancer Research UK : </funding-source>
<award-id>A6695 || CRUK_</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>
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