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Farmer and fisherman were the most common occupations (130 of 313; 41.5%) of the acral melanoma patients. Our results demonstrate that traumatic events, physical stress, and certain occupations are common in acral melanomas. Further studies are needed to establish whether these are risk factors for acral melanomas. Our results demonstrate that traumatic events, physical stress, and certain occupations are common in acral melanomas. Further studies are needed to establish whether these are risk factors for acral melanomas. Hydroa vaccini