Idiopathic photodermatoses

Year 2012, Volume: 22 Issue: 2, 78 - 82, 01.01.2012

Munise Daye İnci Mevlitoğlu

Abstract

Objective: Photodermatoses are a wide group of diseases that are activating or causing by sun. Idiopathic photodermatoses: polymorphic light eruption, chronic actinic dermatitis, actinic prurigo, hydroa vacciniforme, solar urticaria. Polymorphic light eruption is the most common idiopathic phodermatose. Main findings: It is very difficult to diagnose and distinguish photodermatoses. Eruptions at the sun-exposed area and phototests are important for diagnose. Conclusion: Clinical history and tests for differential diagnose must be done. Main therapy is avoiding from sun and there are many treatment options suitable

Keywords

Sun, polymorphic light eruption, chronic actinic dermatitis, actinic prurigo, hydroa vacciniforme, solar urticaria

İdyopatik fotodermatozlar

Abstract

Amaç: Fotodermatozlar güneşle oluşan veya artan geniş bir grup hastalıkları içermektedir. İdyopatik fotodermatozlar: polimorfik ışık erupsiyonu, kronik aktinik dermatit, aktinik prurigo, hidro vaksiniforme, solar ürtikerdir. Polimorfik ışık erüpsiyonu en sık görülen idyopatik fotodermatozdur. Ana bulgular: Fotodermatozları birbirinden ayırmak, tanıyı koymak her zaman kolay olmamaktadır. Tanıda güneşle ilişkili bölgelerin hastalıktan etkilenmesi, fototest önemlidir. Sonuç: Ayırıcı tanı için anamnez detaylı alınmalı ve gerekli ilgili testler yapılmalıdır. Tedavide güneşten korunmak başta olmak üzere çeşitli tedavi yöntemleri bulunmaktadır

Keywords

Güneş, polimorfik ışık erupsiyonu, kronik aktinik dermatit, aktinik prurigo, hidro vaksiniforme, solar ürtiker

References

• Bylaite M, Grigaitiene J, Lapinskaite GS. Photodermatoses: Classification, evaluation and management. Br J Dermatol. 2009;161:61-8.
• Gambichler T, Al-Muhammadi R, Boms S. Immunologically mediated photodermatoses. Am J Clin Dermatol. 2009;10:169-80.
• Millard TP, Hawk JLM. Photosensitivity disorders. Am J Clin Dermatol. 2002;3:239-46.
• Stratigos AJ, Antoniou C, Katsambas AD. Polymorphous light eruption. JEADV. 2002;16:193-206.
• Deng D, Hang Y, Chen H, Li H. Prevelance of photodermatosin in four regions at different altitudes in Yunnan province, China. J Dermatol. 2006;33:537-40.
• Ferguson J. Diagnosis and treatment of the common idiopathic photodermatoses. Australiasan J Dermatol. 2003;44:90-6.
• Mahmoud BM, Hexsel CL, Hamzavi IH. Effects of visible light on the skin. Photochem Photobiol. 2008;84:450-62.
• Trakatelli M, Charalampidis S, Novakovic LB, Patsatsi A, Kalabalikis D, Sotiriadis D. Photodermatoses with onset in the elderly. Br J Dermatol. 2009;161:69-77.
• Lenane P, Murphy GM. Sunscreens and photodermatoses. J Dermatolog Treat. 2001;12:53-7.
• Dawe RS, Crombie IK, Ferguson J. The natural history of chronic actinic dermatitis. Arch Dermatol. 2000;136:1215-20.
• Hojyo-Tomoka T, Vega-Memije E, Granados J, Flores O, Cortés-Franco R, Teixeira F, et al. Actinic prurigo: An update. Int J Dermatol. 1995;34:380-4.
• Hojyo-Tomoka MT, Vega-Memije ME, Cortes-Franco R, Dominguez-Soto L. Diagnosis and treatment of actinic prurigo. Dermatol Ther. 2003;16:40-4.
• Grabezynska SA, McGregor JM, Kondeatis E, Vaughan RW, Hawk JLM. Actinic prurigo and polymorphic light eruption: Common pathogenesis and the impotance of HLA DR4/HLADRB1*0407. Br J Dermatol. 1999;140:232-6.
• Ross G, Foley P, Baker C. Actinic prurigo. Photodermatol Photoimmunol Photomed. 2008;24:272-5.
• Estrada-G I, Garibay-Escobar A, Nşñez-Vázquez A, Hojyo- Tomoka T, Vega-Memije E, Cortés-Franco R, et al. Evidence that thalidomide modifies the immune response of patients suffering from actinic prurigo. Int J Dermatol. 2004;43:893-7.
• Grupta G, Man I, Kemmett D. Hydroa vacciniforme: A clinical and follow-up study of 17 cases. J Am Acad Dermatol. 2000;42:208-13.
• Jacyk WK, Moosa Y. Crusts and vacciniforme scars on sun- exposed skin. Clin Exp Dermatol. 2009;35:97-8.
• Murphy GM. Diseases associated with photosensitivity. J Photochem Photobiol B. 2001;64:93-8.
• Balestri R, Neri I. Hydroa Vacciniforme. CMAJ. 2010;182:23.
• Wong SN, Tan SH, Khoo SW. Late-onset hydroa vacciniforme: Two case reports. Br J Dermatol. 2001;144:874-7.
• Rhodes LE, White SI. Dietary fish oil as a photoprotective agent on hydroa vacciniforme. Br J Dermatol. 1998;138:173- 8.
• Botto NC, Warshaw EM. Solar urticaria. J Am Acad Dermatol. 2008;909-20.
• Webb LM, Mikita CP. Solar urticaria. Allergy Asthma Proc 2009;30:563-5.
• Roelandts R. Diagnosis and treatment of solar urticaria. Dermatol Ther. 2003;16:52-6.
• Uetsu N, Miyauchi-Hashimoto H, Okamoto H, Horio T. The clinical and photobiological characteristics of solar urticaria in 40 patients. Br J Dermatol. 2000;142:32-8.
• Hughes R, Cusack C, Murphy GM, Kirby B. Solar urticaria succesfully treated with intravenous immunglobulin. Clin Exp Dermatol. 2009;34:660-2.
• Beissert S, Stander H, Schwarz T. UVA rash hardening fort he treatment of solar urticaria. J Am Acad Dermatol. 2000;42:1030-2.
• Puech-Plottova I, Michel JL, Rochouse B, Perot JL, Dzviga C, Cambazard F. Solar urticaria: One case treated by intravenous immungloblin. Ann Dermatol Venereol. 2000;127:831-5.
• Güzelbey O, Ardelean E, Mageri M, Zuberbier T, Maurer M. Successful treatment of solar urticaria with anti immungloblin E therapy. Allergy. 2008;63:1559-65.