Skip to main content

Phototoxic and Photoallergic Reactions

  • Chapter
  • First Online:
Contact Dermatitis

Abstract

Phototoxic and photoallergic reactions represent skin reactions to the sun, in the presence of photoactive chemicals applied on the skin or taken systemically. They have a highly polymorphic clinical presentation – photocontact urticaria, eczema on sun-exposed areas sometimes with erythema multiforme, exaggerated sunburn, linear phytophotodermatitis, pseudoporphyria, photoonycholysis, dyschromia, and lupus erythematosus. Also, skin cancers are increasingly associated with exposure to photoactive chemicals. There is a geographical and timely variation in the responsible agents, but they are mostly furocumarins from plants, UV filters in sunscreens and cosmetics, and drugs (NSAIDs, antimicrobials, phenothiazines, amiodarone, etc.).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 299.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hawk J (1999) Photodermatology, 1st edn. Oxford University Press, Oxford

    Google Scholar 

  2. Fujimoto N, Danno K, Wakabayashi M et al (2009) Photosensitivity with eosinophilia due to ambroxol and UVB. Contact Derm 60:110–113

    Article  PubMed  CAS  Google Scholar 

  3. Darvay A, White I, Rycroft R et al (2001) Photoallergic contact dermatitis is uncommon. Br J Dermatol 145:597–601

    Google Scholar 

  4. Bryden A, Moseley H, Ibbotson S et al (2006) Photopatch testing of 1115 patients: results of the U.K. multicentre photopatch study group. Brit J Dermatol 155:737–747

    Article  CAS  Google Scholar 

  5. Zeeli T, David M, Trattner A (2006) Photopatch tests: any news under the sun? Contact Derm 55:305–307

    Article  PubMed  Google Scholar 

  6. Bilu D, Mamelak A, Nguyen R et al (2004) Clinical and epidemiologic characterization of photosensitivity in HIV-positive individuals. Photoderm Photoimmunol Photomed 20:175–183

    Google Scholar 

  7. Béani J (2009) Les photosensibilisations graves. Ann Dermatol Vénéreol 136:76–83

    Article  PubMed  Google Scholar 

  8. Urbach F (1997) Phototoxicity and possible enhancement of photocarcinogenesis by fluorinated quinolone antibiotics. J Photochem Photobiol B 37:169–170

    Article  PubMed  CAS  Google Scholar 

  9. Klecak G, Urbach F, Urwyler H (1997) Fluoroquinolone antibacterials enhance UVA-induced skin tumors. J Photochem Photobiol B 37:174–181

    Article  PubMed  CAS  Google Scholar 

  10. Marrot L, Belaïdi J, Jones C et al (2003) Molecular responses to photogenotoxic stress induced by the antibiotic lomefloxacin in human skin cells: from DNA damage to apoptosis. J Invest Dermatol 121:596–606

    Article  PubMed  CAS  Google Scholar 

  11. Lhiaubet-Vallet V, Bosca F, Miranda M (2009) Photosensitized DNA damage: the case of fluoroquinolones. Photochem Photobiol 85:861–868

    Article  PubMed  CAS  Google Scholar 

  12. Müller L, Kasper P, Kersten B, Zhang J (1998) Photochemical genotoxicity and photochemical carcinogenesis – two sides of a coin? Toxicol Lett 102–103:383–387

    Google Scholar 

  13. Placzek M, Eberlein-König B, Przybilla B (1999) Association between actinic keratoses and potentially photosensitizing drugs. N Engl J Med 341:1474–1475

    Article  PubMed  CAS  Google Scholar 

  14. Ferguson J (1999) Drug and chemical photosensitivity. In: Hawk’s photodermatology, 1st edn. Oxford University Press, Oxford, pp 155–169

    Google Scholar 

  15. Jensen A, Thomsen H, Engebjerg M et al (2008) Use of photosensitising diuretics and risk of skin cancer: a population based case-control study. Br J Cancer 99:1522–1528

    Article  PubMed  CAS  Google Scholar 

  16. McCarthy K, Playforf E, Looke D, Whitby M (2007) Severe photosensitivity causing multifocal squamous cell carcinomas secondary to prolonged voriconazole therapy. Clin Inf Dis 44:e55–e56

    Article  CAS  Google Scholar 

  17. Lim H, Hawk J (2008) Photodermatosis. In: Bolognia JL, Jorizzo JL, Rapini RP (eds) Dermatology, 2nd edn. Elsevier, Philadelphia

    Google Scholar 

  18. Karimian-Teherani D, Kinaciyan T, Tanew A (2008) Photoallergic contact dermatitis from Heracleum giganteum. Photoderm Photoimmunol Photomed 24:99–101

    Article  Google Scholar 

  19. Gonçalo M (1998) Explorations dans les photo-allergies médicamenteuses. In: GERDA (eds) Progrès en Dermato-Allergologie. John Libbey Eurotext. Nancy, France, pp 67–74

    Google Scholar 

  20. Oliveira H, Gonçalo M, Figueiredo A (1996) Photosensitivity from lomefloxacin. A clinical and photobiological study. Photoderm Photoimmunol Photomed 16:116–120

    Article  Google Scholar 

  21. Kurumajin Y, Shono M (1992) Scarified photopatch testing in lomefloxacin photosensitivity. Contact Derm 26:5–10

    Article  Google Scholar 

  22. Neves B, Cruz M, Francisco V et al (2008) Differential modulation of CXCR4 and CD40 protein levels by skin sensitizers and irritants in the FSCD cell line. Toxicol Lett 177:74–82

    Article  PubMed  CAS  Google Scholar 

  23. Serra D, Gonçalo M, Figueiredo A (2008) Two decades of cutaneous adverse drug reactions from piroxicam. Contact Derm 58:S35

    Google Scholar 

  24. Gonçalo M, Figueiredo A, Tavares P et al (1992) Photosensitivity to piroxicam: absence of cross-reaction with tenoxicam. Contact Derm. 27:287–290

    Google Scholar 

  25. Hariva T, Kitamura K, Osawa J, Ikezawa Z (1993) A cross-reaction between piroxicam-photosensitivity and thiosalicylate hypersensitivity in lymphocyte proliferation test. J Dermatol Sci 5:165–174

    Google Scholar 

  26. Hindsén M, Isaksson M, Persson L et al (2004) Photoallergic contact dermatitis from ketoprofen induced by drug-contaminated personal objects. J Am Acad Dermatol 50:215–219

    Article  PubMed  Google Scholar 

  27. Due E, Wulf H (2006) Cheilitis – the only presentation of photosensitivity. JEADV 20:766–767

    PubMed  CAS  Google Scholar 

  28. Auffret N, Janssen F, Chevalier P et al (2006) Photosensibilisation au voriconazole. Ann Dermatol Vénéreol 133:330–332

    Google Scholar 

  29. Canelas M, Cravo M, Cardoso J et al (2008) Dermatite de contacto fotoalérgica à benzidamina – Estudo de 8 casos. Trab Soc Port Dermatol Venereol 66:35–40

    Google Scholar 

  30. Kerr A, Ferguson J, Ibbotson S (2007) Acute phototoxicity with urticarial features during topical 5-aminolaevulinic acid photodynamic therapy. Clin Exp Dermatol 32:201–202

    Article  PubMed  CAS  Google Scholar 

  31. Collins P, Ferguson J (1994) Photoallergic contact dermatitis to oxybenzone. Br J Dermatol 131:124–129

    Article  PubMed  CAS  Google Scholar 

  32. Spijker G, Schuttelaar M, Barkema L et al (2008) Anaphylaxis caused by topical application of a sunscreen containing benzophenone-3. Contact Derm 59:248–249

    Article  PubMed  Google Scholar 

  33. Lovell C, Cronin E, Rhodes E (1986) Photocontact urticaria from chlorpromazine. Contact Derm 14:290–291

    Article  PubMed  CAS  Google Scholar 

  34. Devleeschouwer V, Roelandts R, Garmyn M, Goossens A (2008) Allergic and photoallergic contact dermatitis from ketoprofen: results of (photo) patch testing and follow-up of 42 patients. Contact Derm 58:159–166

    Article  PubMed  CAS  Google Scholar 

  35. Izu K, Hino R, Isoda H et al (2008) Photocontact dermatitis to ketoprofen presenting with erythema multiforme. Eur J Dermatol 18:710–713

    PubMed  Google Scholar 

  36. Cohen P (2009) Photodistributed erythema multiforme: paclitaxel-related, photosensitive conditions in patients with cancer. J Drugs Dermatol 8:61–64

    PubMed  Google Scholar 

  37. Mansur A, Aydingöz J (2005) A case of toxic epidermal necrolysis with lesions mostly on sun-exposed skin. Photoderm Photoimmunol Photomed 21:100–102

    Article  CAS  Google Scholar 

  38. Redondo V, Vicente J, España A et al (1996) Photo-induced toxic epidermal necrolysis caused by clobazam. Br J Dermatol 135:999–1002

    Article  PubMed  CAS  Google Scholar 

  39. Figueiredo A (1994) Fotossensibilidade aos anti-inflamatórios não esteróides. Estudo fisiopatológico. Doctoral Thesis, Coimbra

    Google Scholar 

  40. Schmutz J, Barbaud A, Tréchot P (2008) Ciprofloxacin and pseudoporphyria. Ann Dermatol Vénéreol 135(11):804

    Article  PubMed  Google Scholar 

  41. Cummins R, Wagner-Weiner L, Paller A (2000) Pseudoporphyria induced by celecoxib in a patient with juvenile rheumatoid arthritis. J Rheumatol 27:2938–2940

    PubMed  CAS  Google Scholar 

  42. Schmutz J, Barbaud A, Tréchot P (2006) Pseudoporphyria and coxib. Ann Dermatol Vénéreol 133:213

    Article  PubMed  Google Scholar 

  43. Tolland J, McKeown P, Corbett J (2007) Voriconazole-induced pseudoporphyria. Photoderm Photoimmunol Photomed 23:29–31

    Article  CAS  Google Scholar 

  44. Timmer-de Mik L, Kardaun S, Krammer M et al (2009) Imatinib-induced pseudoporphyria. Clin Exp Dermatol 34(6):705–707

    Article  PubMed  CAS  Google Scholar 

  45. Passier A, Smits-van Herwaarden A, van Puijenbroek E (2004) Photo-onycholysis associated with the use of doxycycline. BMJ 329:265

    Article  PubMed  Google Scholar 

  46. Baran R, Juhlin L (2002) Photoonycholysis. Photoderm Photoimmunol Photomed 18:202–207

    Article  Google Scholar 

  47. Gregoriou S, Karagiorga T, Stratigos A et al (2008) Photo-onycholysis caused by olanzapine and aripiprazole. J Clin Psychopharmacol 28:219–220

    Article  PubMed  Google Scholar 

  48. Gonçalo M, Domingues J, Correia O, Figueiredo A (1999) Fotossensibilidad a Flutamida. Boletim Informativo del GEIDC 29:45–48

    Google Scholar 

  49. Vilaplana J, Romaguera C, Azón A, Lecha M (1990) Flutamide photosensitivity-residual vitiliginous lesions. Contact Derm 38:68–70

    Article  Google Scholar 

  50. Ammoury A, Michaud S, Paul C et al (2008) Photodistribution of blue-gray hyperpigmentation after amiodarone treatment. Molecular characterization of amiodarone in the skin. Arch Dermatol 144:92–96

    Article  PubMed  CAS  Google Scholar 

  51. Vassileva S, Matev G, Parish L (1998) Antimicrobial photosensitive reactions. Arch Intern Med 158:1993–2000

    Article  PubMed  CAS  Google Scholar 

  52. Ferguson J (2002) Photosensitivity due to drugs. Photoderm Photoimmunol Photomed 18:262–269

    Article  CAS  Google Scholar 

  53. Urbina F, Barrios M, Sudy E (2006) Photolocalized purpura during ciprofloxacin therapy. Photoderm Photoimmunol Photomed 22:111–112

    Article  Google Scholar 

  54. Sontheimer R, Henderson C, Grau R (2008) Drug-induced subacute cutaneous lupus erythematosus: a paradigm for bedside-to-bench patient-oriented translational clinical investigation. Arch Dermatol Res 301:65–70

    Article  PubMed  Google Scholar 

  55. Farhi D, Viguier M, Cosnes A et al (2006) Terbinafine-induced subacute cutaneous lupus erythematosus. Dermatology 212:59–65

    Article  PubMed  Google Scholar 

  56. Chen M, Crowson A, Woofter M et al (2004) Docetaxel (taxotere) induced subacute cutaneous lupus erythematosus: report of 4 cases. J Rheumatol 31:818–820

    PubMed  Google Scholar 

  57. Hawk J (2004) Chronic actinic dermatitis. Photoderm Photoimmunol Photomed 20:312–314

    Article  CAS  Google Scholar 

  58. Emmert B, Schauder S, Palm H et al (2007) Disabling work-related persistent photosensitivity following photoallergic contact dermatitis from chlorpromazine and olaquindox in a pig breeder. Ann Agric Environ Med 14:329

    PubMed  CAS  Google Scholar 

  59. Waters A, Sandhu D, Lowe G, Ferguson J (2009) Photocontact allergy to PABA: the need for continuous vigilance. Contact Derm 60:172–173

    Google Scholar 

  60. Schauder S, Ippen H (1997) Contact and photocontact sensitivity to sunscreens. Review of a 15-year experience and of the literature. Contact Derm 37:221–232

    Article  PubMed  CAS  Google Scholar 

  61. Sheuer E, Warshaw E (2006) Sunscreen allergy: a review of epidemiology, clinical characteristics, and responsible allergens. Dermatitis 17:3–11

    Article  Google Scholar 

  62. Cardoso J, Canelas M, Gonçalo M, Figueiredo A (2009) Photopatch testing with an extended series of photoallergens. A 5-year study. Contact Derm 60:314–319

    Article  Google Scholar 

  63. Bakkum R, Heule F (2002) Results of photopatch testing in Rotterdam during a 10-year period. Br J Dermatol 146:275–279

    Article  PubMed  CAS  Google Scholar 

  64. Leonard F, Adamski H, Bonnevalle A et al (2005) Étude prospective multicentrique 1991-2001 de la batterie standard des photopatch-tests de la Société Française de Photodermatologie. Ann Dermatol Vénéreol 132:313–320

    Article  PubMed  CAS  Google Scholar 

  65. La Cuadra-Oyanguren J, Pérez-Ferriols A, Lecha-Carralero M et al (2007) Results and assessment of photopatch testing in Spain: towards a new standard set of photoallergens. Actas Dermosifiliogr 98:96–101

    Article  PubMed  Google Scholar 

  66. Pigatto P, Guzzi G, Schena D et al (2008) Photopatch tests: an Italian multicentre study from 2004 to 2006. Contact Derm 59:103–108

    Article  PubMed  Google Scholar 

  67. Berne B, Ros A (1998) 7 years experience of photopatch testing with sunscreen allergens in Sweden. Contact Derm 38:61–64

    Article  PubMed  CAS  Google Scholar 

  68. Lowe N (2006) An overview of ultraviolet radiation, sunscreens and photo-induced dermatosis. Dermatol Clin 24:9–17

    Article  PubMed  CAS  Google Scholar 

  69. Andersen K, Goossens A (2006) Decyl glucoside contact allergy from a sunscreen product. Contact Derm 54:349–350

    Article  PubMed  Google Scholar 

  70. Andrade P, Gonçalo M, Figueiredo A (2009) Allergic contact dermatitis to decyl glucoside in Tinosorb M. Contact Derm 62:119–120

    Google Scholar 

  71. Gonçalo M, Ruas E, Figueiredo A, Gonçalo S (1995) Contact and photocontact sensitivity to sunscreens. Contact Derm 33:278–280

    Article  PubMed  Google Scholar 

  72. Hughes T, Stone N (2007) Benzophenone 4: an emerging allergen in cosmetics and toiletries? Contact Derm 56:153–156

    Article  PubMed  CAS  Google Scholar 

  73. Torres V, Correia T (1991) Contact and photocontact allergy to oxybenzone and mexenone. Contact Derm 25:126–127

    Article  PubMed  CAS  Google Scholar 

  74. Kunz P, Fent K (2006) Estrogenic activity of UV filter mixtures. Toxicol Appl Pharmacol 15:86–99

    Article  Google Scholar 

  75. Singh M, Beck M (2007) Octyl salicylate: a new contact sensitivity. Contact Derm 56(1):48

    Article  PubMed  CAS  Google Scholar 

  76. Madan V, Beck M (2005) Contact allergy to octocrylene in sunscreen with recurrence from passive transfer of a cosmetic. Contact Derm 53:241–242

    Article  PubMed  CAS  Google Scholar 

  77. Lovell C (2000) Phytophotodermatitis. In: Avalos J, Maibach HI (eds) Dermatological botany. CRC Press, Boca Raton, pp 51–65

    Google Scholar 

  78. Gonçalo S, Correia C, Couto J, Gonçalo M (1989) Contact and photocontact dermatitis from Ruta chalepensis. Contact Derm 21:200–201

    Article  PubMed  Google Scholar 

  79. Wagner A, Wu J, Hansen R et al (2002) Bullous phytophotodermatitis associated with high natural concentrations of furanocoumarins in limes. Am J Contact Derm 13:10–14

    Article  Google Scholar 

  80. Gonçalo M (2004) Dermatitis por plantas y maderas. Em: Conde-Salazar Gómez L, Ancona-Alayón A (eds) Dermatologia professional. Aula Médica Ediciones, Madrid, pp 193–210

    Google Scholar 

  81. Schempp C, Müller K, Winghofer B et al (2002) St. John’s wort (Hypericum perforatum L.). A plant with relevance for dermatology. Hautarzt 53:316–321

    Article  CAS  Google Scholar 

  82. Kerr A, Muller F, Ferguson J, Dawe R (2008) Occupational carprofen photoallergic contact dermatitis. Br J Dermatol 159:1303–1308

    Article  PubMed  CAS  Google Scholar 

  83. Walker S, Ead R, Beck M (2006) Occupational photoallergic contact dermatitis in a pharmaceutical worker manufacturing carprofen, a canine nonsteroidal anti-inflammatory drug. Br J Dermatol 154:551–577

    Article  Google Scholar 

  84. Kimura M, Kawada A (1998) Photosensitivity induced by lomefoxacin with cross-photosensitivity to ciprofloxacin and fleroxacin. Contact Derm 38:130

    Article  Google Scholar 

  85. Correia O, Delgado L, Barros M (1994) Bullous photodermatosis after lomefloxacin. Arch Dermatol 130:808–809

    Article  PubMed  CAS  Google Scholar 

  86. Tokura Y, Seo N, Fujie M, Takigawa M (2001) Quinolone-photoconjugated major histocompatibility complex class II-binding peptides with lysine are antigenic for T cells mediating murine quinolone photoallergy. J Invest Dermatol 117:1206–1211

    Article  PubMed  CAS  Google Scholar 

  87. Kar B (2008) Dapsone-induced photosensitivity: a rare clinical presentation. Photoderm Photoimmunol Photomed 24:270–271

    Article  Google Scholar 

  88. Yazici A, Baz K, Ikizoglu G et al (2004) Celecoxib-induced photoallergic drug eruption. Int J Dermatol 43:459–461

    Article  PubMed  Google Scholar 

  89. Lasa Elgezua O, Gorrotxategi P, Gardeazabal Gracia J et al (2004) Photoallergic hand eczema due to benzydamine. Eur J Dermatol 14:69–70

    PubMed  CAS  Google Scholar 

  90. Diaz R, Gardeazabal J, Manrique P et al (2006) Greater allergenicity of topical ketoprofen in contact dermatitis confirmed by use. Contact Derm 54:239–243

    Article  PubMed  CAS  Google Scholar 

  91. Veyrac G, Paulin M, Milpied B et al (2002) Bilan de l’enquête nationale sur les effets indésirables cutanés do kétoprofène gel enregistrés entre le 01/09/1996 et le 31/08/2000. Thérapie 57:55–64

    PubMed  CAS  Google Scholar 

  92. Sugiura M, Hayakawa R, Kato Y et al (2000) 4 cases of photocontact dermatitis due to ketoprofen. Contact Derm 43:16–19

    Article  PubMed  CAS  Google Scholar 

  93. Lee B, Choi Y, Son W et al (2007) Ketoprofen: experimental overview of dermal toxicity. Arch Toxicol 81:743–748

    Article  PubMed  CAS  Google Scholar 

  94. Imai S, Atarashi K, Ikesue K et al (2005) Establishment of murine model of allergic photocontact deermatitis to ketoprofen and characterization of pathogenic T cells. J Dermatol Sci 41:127–136

    Article  PubMed  Google Scholar 

  95. Hino R, Orimo H, Kabashima K (2008) Evaluation of the photoallergic potential of chemicals using THP-1 cells. J Dermatol Sci 52:140–143

    Article  PubMed  CAS  Google Scholar 

  96. LeCoz C, Bottlaender A, Scrivener J et al (1998) Photocontact dermatitis from ketoprofen and tiaprofenic acid: cross-reactivity study in 12 consecutive patients. Contact Derm 38:245–252

    Article  CAS  Google Scholar 

  97. Pigatto P, Bigardi A, Legori A et al (1996) Cross reactions in patch testing and photopatch testing with ketoprofen, tiaprofenic acid and cinnamic aldehyde. Am J Contact Derm 7:220–223

    Article  CAS  Google Scholar 

  98. Asensio T, Sanchis M, Sánchez P et al (2008) Photocontact dermatitis because of oral dexketoprofen. Contact Derm 58:59–60

    Article  PubMed  CAS  Google Scholar 

  99. Fernández-Jorge B, Buján J, Paradela S, Mazaira M, Fonseca E (2008) Consort contact dermatitis from piketoprofen. Contact Derm 58:113–115

    Article  PubMed  Google Scholar 

  100. Lunggren B (1989) The piroxicam enigma. Photodermatology 6:151–154

    Google Scholar 

  101. Cirne de Castro J, Vale E, Martins M (1989) Mechanism of photosensitive reactions induced by piroxicam. J Am Acad Dermatol 20:706–707

    Article  PubMed  CAS  Google Scholar 

  102. Cirne de Castro J, Freitas J, Brandão F, Themido R (1991) Sensitivity to thimerosal and photosensitivity to piroxicam. Contact Derm 24:187–192

    Article  Google Scholar 

  103. Gonçalo M, Figueiredo A, Gonçalo S (1996) Hypersensitivity to thimerosal: the sensitizing moiety. Contact Derm 34:201–203

    Article  PubMed  Google Scholar 

  104. Ikezawa Z, Kitamura K, Osawa J, Hariva T (1992) Photosensitivity to piroxicam is induced by sensitization to thimerosal and thiosalicylate. J Invest Dermatol 98:918–920

    Article  PubMed  CAS  Google Scholar 

  105. Varela P, Amorim I, Massa A, Sanches M, Silva E (1998) Piroxicam-beta-cyclodextrin and photosensitivity reactions. Contact Derm 38:229

    Article  PubMed  CAS  Google Scholar 

  106. Youn J, Lee H, Yeo U, Lee Y (1993) Piroxicam photosensitivity associated with vesicular hand dermatitis. Clin Exp Dermatol 18:52–54

    Article  PubMed  CAS  Google Scholar 

  107. Trujillo M, Barrio M, Rodríguez A et al (2001) Piroxicam-induced photodermatitis. Cross-reactivity among oxicams. A case report. Allergol et Immunopathol 29:133–136

    Article  CAS  Google Scholar 

  108. Gonçalo M, Oliveira H, Fernandes B etal (2002) Topical provocation in fixed drug eruption from nonsteroidal anti-inflammatory drugs. Exog Dermatol 1:81–86

    Google Scholar 

  109. Oliveira H, Gonçalo M, Reis J, Figueiredo A (1999) Fixed drug eruption to piroxicam. Positive patch tests with cross-sensitivity to tenoxicam. J Dermatol Treat 10:209–212

    Article  Google Scholar 

  110. Katsarou A, Makris M, Zarafonitis G et al (2008) Photoallergic contact dermatitis: the 15-year experience of a tertiary reference center in a sunny Mediterranean city. Int J Immunopathol Pharmacol 21:725–727

    PubMed  CAS  Google Scholar 

  111. Barbaud A, Collet E, Martin S et al (2001) Contact sensitization to chlorproéthazine can induce persistent light reaction and cross photoreactions to other phenothiazines. Contact Derm 44:373

    PubMed  CAS  Google Scholar 

  112. Kerr A, Woods J, Ferguson J (2008) Photocontact allergic and phototoxic studies of chlorproethazine. Photoderm Photoimmunol Photomed 24:11–15

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Margarida Gonçalo .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Gonçalo, M. (2011). Phototoxic and Photoallergic Reactions. In: Johansen, J., Frosch, P., Lepoittevin, JP. (eds) Contact Dermatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03827-3_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-03827-3_18

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-03826-6

  • Online ISBN: 978-3-642-03827-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics