The authors have indicated no significant interest with commercial supporters. P hotoaging refers to the effects of long-term ultraviolet (UV) exposure and sun damage superimposed on intrinsically aged skin. The clinical signs associated with photoaging include dyspigmentation, laxity, a yellow hue, wrinkles, telangiectasia, a leathery appearance, and cutaneous malignancy. 1 These changes often occur gradually as a person ages but can develop earlier if extensive UV exposure and photodamage have taken place. When patients present early with photodamage, their concerns are often cosmetic, inquiring about treatments for rhytides, skin roughness, laxity, and mottled appearance. 2
Granuloma annulare is a dermatologic condition of unknown etiology that has been associated with systemic diseases and reported to be a paraneoplastic manifestation. Two patients with generalized granuloma annulare as an initial manifestation of chronic myelomonocytic leukemia are herein described. We suggest that chronic myelomonocytic leukemia should be added to the list of systemic diseases associated with generalized granuloma annulare.
Generally, the most common skin conditions seen in the migrant farmworker population in eastern North Carolina are similar to conditions found in the general population.
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