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Photodermatoses

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Braun-Falco´s Dermatology
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Abstract

Photobiology investigates the complex effects of solar radiation on biological systems. The skin plays a very special role as a barrier organ to our environment. A high percentage of dermatoses are developed directly or indirectly in relation to solar radiation. This has led to the development of the field of photodermatology, which has, in recent years, gained significant importance as a field of basic science, as well as a clinical specialty involving photodiagnostics (light diagnostics) and phototherapy (light therapy). Acute and chronic skin reactions related to solar radiation range from sunburn, phototoxicity, and photoallergic diseases, to benign and malignant chronic light damage of the skin (elastosis, basal cell carcinomas, spinocellular carcinomas, and sometimes even melanomas).

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References

Photodermatoses in General

  • Ellenbogen E, Wesselmann U, Hofmann SC, Lehmann P (2016) Photosensitive atopic dermatitis – a neglected subset: clinical, laboratory, histological and photobiological workup. J Eur Acad Dermatol Venereol 30:270–275

    CAS  PubMed  Google Scholar 

  • Hölzle E (2002) Photodermatosen und Lichtreaktionen der Haut. Wissenschaftliche Verlagsgesellschaft, Stuttgart

    Google Scholar 

  • Lehmann P, Schwarz T (2011) Lichtdermatosen: Diagnostik und Therapie. Dtsch Ärztebl 108:135–141

    Google Scholar 

  • Lim HW, Hönigsmann H, Hawk JLM (eds) (2007) Photodermatology. Informa Healthcare, New York

    Google Scholar 

  • Nahhas AF, Oberlin DM, Braunberger TL, Lim HW (2018) Recent developments in the diagnosis and management of photosensitive disorders. Am J Clin Dermatol 19:707–731

    PubMed  Google Scholar 

  • O’Gorman SM, Murphy GM (2014) Photoaggravated disorders. Dermatol Clin 32:385–398

    PubMed  Google Scholar 

Photodiagnostic Test Methods

  • Bruynzeel DP, Ferguson J, Anderson K et al (2004) Photopatch testing: a consensus methodology for Europe. J Eur Acad Dermatol Venereol 18:679–682

    CAS  PubMed  Google Scholar 

  • Bryden AM, Moseley H, Ibbotson SH et al (2006) Photopatch testing of 1155 patients: results of the U.K. multicentre photopatch study group. Br J Dermatol 155:737–747

    CAS  PubMed  Google Scholar 

  • Lehmann P, Fritsch C, Neumann N (2000) Photodiagnostische Testverfahren. Teil 2: Die Photoprovokationstestungen. Hautarzt 51:449–459

    CAS  PubMed  Google Scholar 

  • Neumann N, Fritsch C, Lehmann P (2000a) Photodiagnostic test methods. Part 1: The light staircase and photopatch test. Dermatologist 51:113–125

    CAS  Google Scholar 

  • Neumann N, Fritsch C, Lehmann P (2000b) Photodiagnostische Testverfahren. Teil 1: Die Lichttreppe und Photopatch-Test. Hautarzt 51:113–125

    CAS  PubMed  Google Scholar 

  • Roelandts R (2000) The diagnosis of photosensitivity. Arch Dermatol 136:1152–1157

    CAS  PubMed  Google Scholar 

Light Provoked Skin Reactions

  • Amano S (2016) Characterization and mechanisms of photoageing-related changes in skin. Damages of basement membrane and dermal structures. Exp Dermatol 3:14–19

    Google Scholar 

  • Berneburg M, Plettenberg H, Krutmann J (2000) Photoaging of human skin. Photodermatol Photoimmunol Photomed 16:239–244

    CAS  PubMed  Google Scholar 

  • Birch-Machin MA, Bowman A (2016) Oxidative stress and ageing. Br J Dermatol 175(2):26–29

    CAS  PubMed  Google Scholar 

  • Kligman AM, Lavker RM (1988) Cutaneous aging: the differences between intrinsic aging and photoaging. J Cutan Aging Cosmetol Dermatol 1:5–12

    Google Scholar 

Idiopathic Photodermatoses

  • Batard ML, Bonnevalle A, Segard M et al (2001) Caucasian actinic prurigo: 8 cases observed in France. Br J Dermatol 144:194–196

    CAS  PubMed  Google Scholar 

  • Beattie PE, Dawe RS, Ibbotson SH et al (2003) Characteristics and prognosis of idiopathic solar urticaria: a cohort of 87 cases. Arch Dermatol 139:1149–1154

    PubMed  Google Scholar 

  • Beissert S, Stander H, Schwarz T (2000) UVA rush hardening for the treatment of solar urticaria. J Am Acad Dermatol 42:1030–1032

    CAS  PubMed  Google Scholar 

  • Choi D, Kannan S, Lim HW (2014) Evaluation of patients with photodermatoses. Dermatol Clin 32:287–275

    Google Scholar 

  • Cohen JI, Manoli I, Dowdell K, Krogmann TA, Tamura D, Radecki P, Bu W, Turk SP, Liepshutz K, Hornung RL, Fassihi H, Sarkany RP, Bonnycastle LL, Chines PS, Swift AJ, Myers TG, Levoska MA, DiGiovanna JJ, Collins FS, Kraemer KH, Pittaluga S, Jaffe ES (2019) Hydroa vacciniforme-like lymphoproliferative disorders: an EBV disease with a low risk of systemic illness in whites. Blood 133:2753–2764

    CAS  PubMed  Google Scholar 

  • Frank J (2006) Hereditäre Photodermatosen. Hautarzt 57:1067–1082

    PubMed  Google Scholar 

  • Goetze S, Elsner P (2015) Lichturtikaria – Urticaria solaris. J Dtsch Dermatol Ges 13:1250–1253

    PubMed  Google Scholar 

  • Gozali MV, Zhou BR, Luo D (2016) Update on treatment of photodermatosis. Dermatol Online J 22(2). pii: 13030/qt1rx7d228

    Google Scholar 

  • Griffin LL, Haylett AK, Rhodes LE (2018) Evaluating patient responses to omalizumab in solar urticaria. Photodermatol Photoimmunol Photomed 35:57–65

    PubMed  Google Scholar 

  • Güzelbey O, Ardelean E, Magerl M et al (2008) Successful treatment of solar urticaria with anti-immunoglobulin E therapy. Allergy 63:1563–1565

    PubMed  Google Scholar 

  • Hann SK, Im S, Park YK et al (1991) Hydroa vacciniforme with unusually severe scar formation: diagnosis by repetitive UVA phototesting. J Am Acad Dermatol 25:401–403

    CAS  PubMed  Google Scholar 

  • Hölzle E, Plewig G, Kries R et al (1987) Polymorphous light eruption. J Invest Dermatol 88:32s–38s

    PubMed  Google Scholar 

  • Hönigsmann H (2008) Polymorphous light eruption. Photodermatol Photoimmunol Photomed 24:155–161

    PubMed  Google Scholar 

  • Kreuter A, Jalali BK, Tigges C (2018) Juvenile spring eruption associated with parvorius B19-infection. JAMA Dermatol 154:1356–1357

    PubMed  Google Scholar 

  • Lava SA, Simonetti GD, Ragazzi M, Guarino Gubler S, Bianchetti MG (2013) Juvenile spring eruption: an outbreak report and systemic review of the literature. Br J Dermatol 168:1066–1072

    CAS  PubMed  Google Scholar 

  • Lembo S, Raimondo A (2018) Polymorphic light eruption: what’s new in photogenesis and management. Front Med (Lausanne) 5:252

    Google Scholar 

  • Lippert U, Schauder S, Neumann C (2000) Aktinische Prurigo. Hautarzt 51:597–603

    CAS  PubMed  Google Scholar 

  • Metz M, Altrichter S, Ardelen E et al (2010) Anti-immunoglobulin E treatment of patients with recalcitrant physical urticaria. Int Arch Allergy Immunol 154:177–180

    PubMed  Google Scholar 

  • Monfrecola G, Masturzo E, Riccardo AM et al (2000) Solar urticaria: a report on 57 cases. Am J Contact Dermatol 11:89–94

    CAS  Google Scholar 

  • Neumann NJ, Hölzle E, Lehmann P (2004) Leitlinie: Polymorphe Lichtdermatose. J Dtsch Dermatol Ges 2:220–226

    PubMed  Google Scholar 

  • Photiou L, Foley P, Ross G (2019) Solar urticarial – an Australian case series of 83 patients. Australas J Dermatol 60:110–117

    PubMed  Google Scholar 

  • Snast I, Lapidoth M, Uvaidov V, Enk CD, Mazor S, Hodak E, Levi A (2019) Real-life experience in the treatment of solar urticaria: retrospective cohort study. Clin Exp Dermatol 44:e164–e170

    CAS  PubMed  Google Scholar 

  • Sonnex TS, Hawk JLM (1988) Hydroa vacciniforme: a review of ten cases. Br J Dermatol 118:101–108

    CAS  PubMed  Google Scholar 

  • Uetsu N, Miyauchi-Hashimoto H, Okamoto H et al (2000) The clinical and photobiological characteristics of solar urticaria in 40 patients. Br J Dermatol 142:32–38

    CAS  PubMed  Google Scholar 

  • Verneuil L, Gouarin S, Comoz F et al (2010) Epstein-Barr virus involvement in the pathogenesis of hydroa vacciniforme: an assessment of seven adult patients with long-term follow-up. Br J Dermatol 163:174–182

    CAS  PubMed  Google Scholar 

Photodermatoses by Exogenous Photosensitization

  • Kerr A, Ferguson J (2010) Photoallergic contact dermatitis. Photodermatol Photoimmunol Photomed 26:56–65

    CAS  PubMed  Google Scholar 

  • Kim WB, Shelley AJ, Novice K, Joo J, Lim HW, Glassman SJ (2018) Drug-induced phototoxicity: a systemic review. J Am Acad Dermatol 79:1069–1075

    CAS  PubMed  Google Scholar 

  • Milde P, Hölzle E, Neumann N et al (1991) Chronische aktinische Dermatitis. Konzeption und Fallbeispiele. Hautarzt 42:617–622

    CAS  PubMed  Google Scholar 

  • Roelandts R (1993) Chronic actinic dermatitis. J Am Acad Dermatol 28:240–249

    CAS  PubMed  Google Scholar 

  • Schauder S (2005) Phototoxische Reaktionen der Haut durch Medikamente. Dtsch Ärztebl 102(34–35):A2314–A2319

    Google Scholar 

  • Victor FC, Cohen DE, Soter NA (2010) A 20-year analysis of previous and emerging allergens that elicit photoallergic contact dermatitis. J Am Acad Dermatol 62:605–610

    CAS  PubMed  Google Scholar 

  • Zuba EB, Koronowska S, Osmola-Mańkowska A, Nenerowicz D (2016) Drug-induced photosensitivity. Acta Dermatovenerol Croat 24:55–64

    CAS  PubMed  Google Scholar 

Light Protection

  • Lautenschlager S, Wulf HC, Pittelkow MR (2007) Photoprotection. Lancet 370:528–537

    CAS  PubMed  Google Scholar 

  • Medeiros VL, Lim HW (2010) Sunscreens in the management of photodermatoses. Skin Therapy Lett 15:1–3

    CAS  PubMed  Google Scholar 

  • Stiefel C, Schwack W (2015) Photoprotection in changing times – UV filter efficacy and safety, sensitization processes and regulatory aspects. Int J Cosmet Sci 37:2–30

    CAS  PubMed  Google Scholar 

First Describer

  • Bazin E (1860) Leçon théorique et cliniques sur les affections génériques de la peau. Delabrage 1:132–134

    Google Scholar 

  • Burckhardt W (1942) Über eine im Frühling, besonders an der Ohren auftretende Lichtdermatose. Dermatologica 86:85–91

    Google Scholar 

  • Dubreuilh W (1913) Élastome diffus de la peau. Ann Dermatol Syphiligr 4:193–199

    Google Scholar 

  • Favre M, Racouchot J (1951) L'élastéidose cutanée nodulaire à kystes et à comédons. Ann Dermatol Syphiligr 78:681–702

    CAS  Google Scholar 

  • Fitzpatrick TB (1975) Soleil et peau. J Med Esthet 2:33

    Google Scholar 

  • Frain-Bell W, Lakshmipathi T, Roger J et al (1974) The syndrome of chronic photosensivity dermatitis and actinic reticuloid. Br J Dermatol 91:617–634

    CAS  PubMed  Google Scholar 

  • Freund E (1916) Über bisher noch nicht beschriebene künstliche Hautverfärbungen. Dermatol Wochenschr 63:931–933

    Google Scholar 

  • Hausmann W, Haxthausen H (1929) Die Lichterkrankungen der Haut. Strahlenther Sonderb 11:62–71

    Google Scholar 

  • Haußer I (1938) Über spezifische Wirkung des langwelligen ultravioletten Lichts auf die menschliche Haut. Strahlentherapie 62:315–322

    Google Scholar 

  • Hawk JLM, Magnus IA (1979) Chronic actinic dermatitis – an idiopathic photosensivity syndrome including actinic reticuloid and photosensitive eczema. Br J Dermatol 101:24

    PubMed  Google Scholar 

  • Hutchinson J (1878) Summer Prurigo, prurigo aestivalis, seu prurigo adolescentium, seu acne-prurigo. Med Times Gaz (London) 1:161

    Google Scholar 

  • Ive FA, Magnus IA, Warin RP et al (1969) “Actinic reticuloid”: a chronic dermatosis associated with severe photosensitivity and the histological resemblance to lymphoma. Br J Dermatol 81:469–485

    CAS  PubMed  Google Scholar 

  • Jadassohn J (1925) Cutis rhomboidalis nuchae mit kolloider Degeneration. Zentralbl Haut Geschlechtskr 17:272

    Google Scholar 

  • Keining E (1940) Die “Frühlingsperniosis” zum Unterschied von der Herbstperniosis. Dermatol Wochenschr 110:26–35

    Google Scholar 

  • Leder M (1944) Erythrosis interfollicularis colli. Dermatologica 89:132–138

    Google Scholar 

  • Lopez-Gonzales G (1961) Prurigo solar. Arch Argent Dermatol 11:301

    Google Scholar 

  • Meirowsky E (1909) Über Pigmentbildung in vom Körper losgelöster Haut. Frankf Z Pathol 2:438–448

    Google Scholar 

  • Merklen P (1904) Urticae. In: Besnier E, Brocq L, Jacquet L (eds) La practique dermatologique. Masson, Paris, pp S728–S771

    Google Scholar 

  • Miescher G (1930) Das Problem des Lichtschutzes und der Lichtgewöhnung. Strahlentherapie 35:403–443

    Google Scholar 

  • Milian G (1921) Discussion de Dubreuilh W. Elastome diffus de la face. Bull Soc Fr Dermatol Syphiligr, 28eme année 28:247–248

    Google Scholar 

  • Oppenheim M, Fessler A (1928) Über eine streifenförmige bullöse Dermatitis (Freibad- und Wiesendermatitis). Dermatol Wochenschr 86:183–187

    Google Scholar 

  • Raimer SS, Sanchez RL, Hubler WR et al (1986) Solar elastotic bands of the forearm: an unusual clinical presentation of actinic elastosis. J Am Acad Dermatol 15:650–656

    CAS  PubMed  Google Scholar 

  • Ramsay CA, Kobza-Black A (1973) Photosensitive excema. Trans St Johns Hosp Dermatol Soc 59:152–158

    CAS  PubMed  Google Scholar 

  • Rasch C (1900) Om et polymorft (erytematost, vesikulost og ekzematoïct) Lysudslet. Dansk dermatologisk selskab. Hospitalstidende 43:478–480

    Google Scholar 

  • Rosenthal O (1925) Hauterkrankung in Berlock Form. Dermatol Z 42:295. (Vorgetragen am 17. Juni 1924, Berliner Dermatologische Gesellschaft)

    Google Scholar 

  • Soret JL (1883) Recherches sur l’absorption des rayons ultraviolets par diverses substances. Arch Sci Phys Nat 10:430–485

    Google Scholar 

  • Wilkinson DS (1962) Further experiences with halogenated salicylanilides. Br J Dermatol 74:295–301

    CAS  PubMed  Google Scholar 

  • Wucherpfennig V (1931) Biologie und praktische Verwendbarkeit der Erythemschwelle des UV. Strahlentherapie 40:201–243

    Google Scholar 

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Correspondence to Percy Lehmann .

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Lehmann, P. (2020). Photodermatoses. In: Plewig, G., French, L., Ruzicka, T., Kaufmann, R., Hertl, M. (eds) Braun-Falco´s Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58713-3_44-1

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  • DOI: https://doi.org/10.1007/978-3-662-58713-3_44-1

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