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2.1
Photosensitivity Disorder
Photosensitivity Skin Disorders

Presentation

Presentation Phototoxic reactions tend to be more common and resemble severe sunburn. [patient.info]

Thus, we present a case of a middle-aged woman who had a debilitating fixed, false delusion of severe photosensitivity in order to expand knowledge and recognition of atypical case presentations that both psychiatrists and dermatologists may encounter [omicsonline.org]

Stephan Stapczynski, MD, Editor Illustrative Case Presentation A 65-year-old female presents to the emergency department with a chief complaint of a severe rash. The rash has been present for two weeks on her arms, neck, and scalp. [ahcmedia.com]

As there may be significant overlap among the clinical presentation of these conditions, the specific diagnosis of individual photodermatosis relies heavily on characteristic histopathologic features. [ncbi.nlm.nih.gov]

Article Extract Case presentation A 78-year-old man presented with a 12-month history of a dermatitis-like rash. [medicinetoday.com.au]

Jaw & Teeth

  • Cheilitis

    Cellulitis of lips Cheilitis NOS Cheilodynia Cheilosis Exfoliative cheilitis Fistula of lips Glandular cheilitis Hypertrophy of lips Perlèche NEC Type 1 Excludes ariboflavinosis ( E53.0 ) cheilitis due to radiation-related disorders ( L55-L59 ) congenital [icd10data.com]

    Complications of photodermatitis are conjunctivitis and cheilitis. In addition, the patient may suffer from general weakness and fatigue if he has complicated sunny dermatitis. The photo below shows how this allergy might look like. [acikgunluk.net]

    Actinic prurigo is commoner in girls and manifests by 9-10 years of age as pruritic excoriated papules and nodules on exposed body parts. [5], [13] Associated conjunctivitis and actinic cheilitis are characteristic. [12] Hydroa vacciniforme is a very [ijdvl.com]

    Cheilitis, or the drying and crusting of the lips, is common following irritation by the sun. Fortunately photosensitivity and erythema (inflammation and redness of skin due to irritation by the sun) decrease with age. [skincancer.org]

Skin

  • Hyperpigmentation

    This hyperpigmentation may serve as a protective mechanism against further UV injury. [emedicine.medscape.com]

    In the case of acquired hyperpigmentation with photodistribution, it is necessary to consider lichenoid photodermatitis. Biography : Email: [email protected] [omicsonline.org]

    Skin reactions due to amitriptyline (a tricyclic antidepressant agent) include rashes and hypersensitivity reactions (for example, urticaria and photosensitivity) as well as hyperpigmentation. [pmj.bmj.com]

    Though any blisters or burns you get will subside in a few days, the hyperpigmentation or skin darkening that follows can last for months or even years. If you must have a margarita while sun bathing, make sure to wear extra sunscreen. [nerdist.com]

    Desquamation and hyperpigmentation can occur. Usually self-limiting. Management [ 26 ] Avoidance of plants/sunlight. [patient.info]

  • Skin Rash

    Exposure to UV rays can also lead to skin damage and skin cancer. People who are photosensitive may develop skin rashes or burns, even after only limited exposure to the sun. Some chemicals contribute to sensitivity to the sun. [healthline.com]

    Because many people with lupus are sensitive to sunlight (called photosensitivity), skin rashes often first develop or worsen after being out in the sun. [lupusresearch.org]

    Erysipelas vesicular. 4) SARSAPARILLA :- Skin rash from exposure to Sun, comes in Spring. Summer Cutaneous Disorders. 5) NAT MUR :- Skin eruptions after Exposure to Sun Light. Skin is greasy oily. [consultahomeopath.blogspot.com]

    Photodermatitis may result in swelling, a burning sensation, a red itchy rash sometimes resembling small blisters, and peeling of the skin. [diki.pl]

    The rash became exfoliating with generalised scaling from the head downwards. An emollient euserine cream was applied. A month later, skin lesions and blood tests normalised. [pmj.bmj.com]

  • Hypertrichosis

    In dark-complexioned children with PKU, the color dilution of the skin and hair may not be readily appreciable as the resultant skin pigmentation is darker than in average white children. [2] Hypertrichosis: Lanugo-like hair over the extremities and coarse [ijdvl.com]

    Other symptoms include pruritus, increased skin fragility, hypertrichosis and sclerodermoid changes. 19 The mechanism of PCT in HIV is thought to be HIV-induced changes in porphyrin metabolism and liver injury in the setting of co-infection with hepatitis [sajhivmed.org.za]

  • Hyperpigmentation in Sun-Exposed Areas

    […] on sun exposed area is often misdiagnosed as hyperpigmentary disorders due to chronic sun exposure. [omicsonline.org]

Eyes

  • Blepharitis

    Conditions Commonly Associated With Photophobia Ocular Dry eye Corneal diseases Uveitis Blepharitis Conjunctivitis Iritis Asthenopia Keratoconjunctivitis Retinal disease (e.g., cone dystrophy, retinitis pigmentosa) Vitreous disease Optic neuritis Papilledema [aao.org]

Psychiatrical

  • Denial

    To improve your chances of meeting all of the requirements for the allowance of a claim (and avoiding the denial of benefits), retain the services of a qualified Kentucky Social Security Disability attorney. Contact the Sullivan Law Office today. [michaelsullivanlaw.com]

Face, Head & Neck

  • Malar Rash

    The cutaneous manifestations of lupus can include malar rash, discoid rash, and photosensitivity. [clinicaladvisor.com]

    Malar Rash About half of people with lupus experience a characteristic red “malar” rash or color change that may appear across the cheeks and bridge of the nose in the shape of a butterfly. [lupusresearch.org]

    Systemic lupus erythematosus (SLE) often causes a rash on the face which can be very sensitive to sunlight. This rash is typically seen on the nose and cheeks, called a malar rash, and is considered one of the hallmarks of lupus. [medicinenet.com]

    Systemic lupus erythematosus is characterized by photosensitivity, malar rash, and discoid lupus erythematosus like skin lesions which can be aggravated in tropical climate. [ijdvl.com]

    When localized, it manifests as the classic butterfly or malar rash on the face, in which symmetric erythema and edema are present over the bridge of the nose and the malar eminences, with sparing of the nasolabial folds. [ahcmedia.com]

Neurologic

  • Cerebellar Ataxia

    Cerebellar ataxia and psychiatric disturbances follow the skin lesions in patients with Hartnup disease. [2] Prominent cerebellar ataxia and nystagmus are also features of AT. [15] Epilepsy and extrapyramidal disorders are seen in association with phenylketonuria [ijdvl.com]

Workup

The reasons for this are as follows: The workup of a patient with solar dermatitis is quite complex, and if you plan to care for and evaluate the patient, I would suggest a review of this topic. [aaaai.org]

Workups for porphyria, lupus and photo patch testing were completed, all of which were negative. She also discontinued any drugs that might cause photosensitivity such as non-steroidal anti-inflammatory medications. [omicsonline.org]

Diagnosis is often made by history, clinical presentation, and an otherwise negative workup. The differential includes atopic dermatitis if the papular subtype is presenting, and lupus in the plaque subtype. [ahcmedia.com]

Treatment

These reactions typically resolve without treatment, but seeing a dermatologist can help determine the triggers causing photosensitivity. [oakbrookderm.com]

Your response to the treatment; iii. Any adverse effects of the treatment; and iv. The expected duration of the treatment. b. [ssa.gov]

Risk factors for photosensitivity in this group include African American ethnicity and treatment with highly active antiretroviral therapy (HAART). [medical-dictionary.thefreedictionary.com]

Individuals may die in very rare cases with treatment failure. [medicalfoxx.com]

Prevention and Treatment Avoid overexposure to sun, wear protective clothing, use sunscreens (prevention) Stop drugs or chemicals that cause photosensitivity For polymorphous light eruption, other specific treatments All people should avoid excessive [merckmanuals.com]

Prognosis

[…] allergens and irritants is the first and foremost preventive measure Please find comprehensive information on Phytophotodermatitis regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis [dovemed.com]

[…] removing harmful, free radicals that occur as by-products of cells' use and generation of energy * Calendula is often used as a homeopathic remedy for sunburn * Aloe for external use * If pellagra is the cause, niacin would be the specific treatment Prognosis [steadyhealth.com]

The prognosis depends on the specific disorder, its treatment, where the patient lives, and how carefully they protect their skin from exposure to sunlight. For the most severely light sensitive patients, normal activities may be severely curtailed. [dermnetnz.org]

Prognosis/Outlook for Photosensitivity For people living with photosensitivity, the outlook largely depends on what type of underlying condition accompanies the disorder. [sunsaferx.com]

Etiology

Predominant age: all ages Predominant sex: male = female Prevalence May be as high as 20% in some areas Etiology and Pathophysiology Sunlight Phenothiazines Diuretics Tetracyclines, sulfonamides Oral contraceptives Topicals: psoralens, retinoids coal [unboundmedicine.com]

Abstract Objective: To better understand cutaneous photosensitivity reactions, a review of its etiologic factors, clinical characteristics, pathogenesis, and treatment modalities was undertaken. [aaaai.org]

[…] and Symptoms, Complementary and Alternative Therapies, Herbs, Homeopathy, Prognosis/Possible Complications, Supporting Research at http://umm.edu/health/medical/altmed/condition/photodermatitis Skin Disorders, Photodermatitis -> Overview, Definition, Etiology [medicalfoxx.com]

Etiology of Photophobia Many conditions cause photophobia, and the most common condition is migraine. Indeed, photophobia is one of the cardinal features and appears prominently in the International Headache Society’s classification of migraine. [americanmigrainefoundation.org]

Systemic corticosteroids may be required for treatment over 5 days for severe symptoms. 4 Acute Generalized Exanthematous Pustulosis (AGEP): AGEP is a rare, acute, pustular eruption. 1,5,6,12 While the etiology may be viral or a reaction to mercury, greater [uspharmacist.com]

Epidemiology

Pellagra: A clinical, histopathological, and epidemiological study of 7 cases. Actas Dermosifiliogr. 2012;103(1):51–58. https://doi.org/10.1016/j.ad.2011.05.001 Murray MF, Langan M, MacGregor RR. [sajhivmed.org.za]

[…] hypersensitivity) Polymorphous light eruption (PLE): chronic, intermittent, light-induced eruption with erythematous papules, urticaria, or vesicles on areas exposed to sunlight System(s) affected: skin/exocrine Synonym(s): sun poisoning; sun allergy Epidemiology [unboundmedicine.com]

Molecular epidemiology of erythropoietic protoporphyria in the united kingdom. Br J Dermatol. 2010;162:642–6. Minder EI, Schneider-Yin X, Steurer J, Bachmann LM. [rarediseases.org]

"Clinical and Epidemiologic Characterization of Photosensitivity in HIV-Positive Individuals." Photodermatology, Photoimmunology and Photomedicine 20 (August 2004): 175-183. Ciocon, J. O., D. G. Ciocon, and D. J. Galindo. [medical-dictionary.thefreedictionary.com]

Drug-induced skin pigmentation: epidemiology, diagnosis and treatment. Am J Clin Dermatol. 2001;2:253-262. To comment on this article, contact [email protected] [uspharmacist.com]

Pathophysiology

11005 Date added 01 August 2011 Patient details Age Adult Location Argentina Localisation Trunk / back Description photodermatitis induced by contact with furocoumarins in a fig plant Primary Lesions Erythema flagellated erythema and blisters Vesicles Pathophysiology [dermquest.com]

Predominant age: all ages Predominant sex: male = female Prevalence May be as high as 20% in some areas Etiology and Pathophysiology Sunlight Phenothiazines Diuretics Tetracyclines, sulfonamides Oral contraceptives Topicals: psoralens, retinoids coal [unboundmedicine.com]

For practitioners, photosensitivity is a vexing symptom since the pathophysiology of its cause is not well understood and little is known about appropriate treatment. [americanmigrainefoundation.org]

Digre highlighted some of what is known about the pathophysiology of photophobia. [aao.org]

Supporting Research at http://umm.edu/health/medical/altmed/condition/photodermatitis Skin Disorders, Photodermatitis -> Overview, Definition, Etiology Risk Factors, Signs and Symptom,s Differential Diagnosis, Diagnosis, Physical Examination, Pathology/Pathophysiology [medicalfoxx.com]

Prevention

This means that a claimant must wear protective clothing and eyeglasses and use opaque broad spectrum sunscreens to prevent the occurrence of skin cancer or other serious effects. [michaelsullivanlaw.com]

Prevention In order to prevent reactions to sun, make sure you" * Limit skin exposure to sun, especially intense midday sun. * Avoid medications or topical creams that cause the problems * Use PABA-free sunscreens that protect against UVA and have a sun [steadyhealth.com]

In addition, information is provided on symptoms and complications, examination and evaluation, medical interventions, and prevention and management methods. [books.google.de]

[…] information on Phytophotodermatitis regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE. [dovemed.com]

How to Prevent Photosensitivity Basic preventive measures People who are photosensitive need to take active measures toward preventing sun exposure to keep their skin healthy. [sunsaferx.com]

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