Chronic high cumulative occupational outdoor UV exposure (≥10 years outdoor work in high-...
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| ID | RF-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION |
|---|---|
| Tipo | Sinal de alerta |
| Estado | reviewed 2026-05-18 | pending_clinical_signoff |
| Doenças | DIS-BCC DIS-MELANOMA |
| Fontes | SRC-NCCN-MELANOMA-2025 SRC-NCCN-SKIN-2025 |
Origem da bandeira vermelha
| Definição | Chronic high cumulative occupational outdoor UV exposure (≥10 years outdoor work in high-UV-index latitudes — agricultural workers, fishermen, sailors, construction trades, road workers, lifeguards, landscapers, equatorial / sub-tropical residence with daily outdoor exposure). Solar UV radiation is an IARC Group 1 carcinogen (Monograph 100D, 2012) — established etiologic driver of cutaneous squamous cell carcinoma (SCC), basal cell carcinoma (BCC), and melanoma. Occupational outdoor work raises non-melanoma skin cancer (NMSC) risk ~1.5-2x baseline (meta-analyses of outdoor vs indoor worker cohorts); melanoma signal is weaker for chronic occupational UV but strong for intermittent / sunburn-pattern exposure. Risk compounds with Fitzpatrick skin type I-III, age >50, history of ≥5 sunburns, immunosuppression (transplant, autoimmune disease on therapy). Mechanisms: UVB (290-320 nm) directly... |
|---|---|
| Direcção clínica | investigar |
| Categoria | Outros |
Lógica de Desencadeamento
{
"any_of": [
{
"finding": "occupational_outdoor_work_ge_10y_high_uv_latitude",
"value": true
},
{
"finding": "occupational_outdoor_uv_exposure_documented",
"value": true
},
{
"finding": "agricultural_or_outdoor_trade_history_ge_10y",
"value": true
}
],
"type": "lab_value"
}
Notas
Prevenção-persona RedFlag para exposição ultravioleta ocupacional ≥10y em latitudes de alto índice UV. Grupo IARC 1 UV solar. Distinção de RF-LIFESTYLE-UV-EXPOSURE-PREVENTION mais ampla (que cobre camas de bronzeamento + história de queimaduras solares + UV recreativo). Anclado ao DIS-BCC por ficha de tarefa (pele mais próxima DIS para UV-NMSC). Rotas motoras para PreventionPlan recomendando aconselhamento fotoproteção + exame clínico da pele cadença + auto-exame de pele paciente + balanço de vitamina D. STUB pendente de sinalização de duas-Clínica-Co-Lead por CHARTER §6.1 dev-mode.
Usado por
Indicação
IND-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION-OBSERVATION- IND-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION-OBSERVATIONIND-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION-PHOTOPROTECTION- IND-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION-PHOTOPROTECTION