Lichtdiagnostische Verfahren bei Patienten mit Verdacht auf Photodermatosen

  • P. Lehmann
  • E. Hölzle
  • R. von Kries
  • G. Plewig

Zusammenfassung

Derzeit gibt es keine einheitliche, allgemein akzeptierte Empfehlung für Lichttestungen zur Diagnostik bei Patienten mit Verdacht auf Lichtdermatosen. Vorliegend werden Testverfahren beschrieben, die es ermöglichen, die normalen Lichtreaktionen des Patienten zu prüfen und pathologische Reaktionen festzustellen. Die Durchführung von Lichttreppen zur Bestimmung von minimalen Erythemdosen (MED-UV-B, MED- UV-A) und Pigmentierungsfähigkeit werden erläutert und Methoden für UV-Provokation, Photopatchtest und systemische Photoprovokation werden beschrieben. Die Aussagekraft der Testmethoden wird diskutiert.

Summary

Generally accepted guidelines for phototesting in patients with photosensitive disorders are lacking. We describe herein test procedures for assessment of normal and abnormal light-induced skin reactions. Methods to evaluate the minimal erythemal dose (MED-UV-B, MED-UV-A) and pigmentary response as well as procedures for provocative phototest, photopatchtest and systemic photochallenging are described. Interpretations of the test results are discussed.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • P. Lehmann
  • E. Hölzle
  • R. von Kries
  • G. Plewig
    • 1
  1. 1.UniversitätshautklinikDüsseldorfGermany

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