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]

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

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]

• Swelling

  Joint Pain and Swelling Up to 90 percent of people with lupus will have arthritis which is defined as inflammation or swelling of the joint lining. The most common symptoms of arthritis are stiffness and aching, most often in the hands and wrists. [lupusresearch.org]

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

  To the Editor: A 30-year-old man presented with burning, severe swelling, and blistering of his left hand. [nejm.org]

  This pyphotodermatitis usually presents itself like terrible sunburn [slightly graphic], producing redness, swelling, and sometimes huge blisters [also slightly graphic]. [nerdist.com]

  Signs and symptoms [ edit ] Photodermatitis may result in swelling, difficulty breathing, a burning sensation, a red itchy rash sometimes resembling small blisters, and peeling of the skin. Nausea may also occur. [en.wikipedia.org]

• Chills

  When to Call Your Doctor • If you have fever, chills, nausea or vomiting. • If infection or pus is noted at the area of dermatitis. • If dermatitis worsens despite treatment. • If a stomachache or severe nausea occur while taking steroid medicines by [healthcoachmd.com]

  […] symptoms are as follows: Itchy, scaly, blisters, or raised areas Lesions that appears like an eczema Hyperpigmented discoloration of the skin Outbreaks in areas of skin which are overexposed to UV light Pain, erythema, and swelling in affected areas Chills [medicalfoxx.com]

  To do this, you can simply use ice, and you can - chilled tea brew or dairy products. If the rash is localized in a certain place, you need to cover it from the sun's rays. To minimize itching, you can use antihistamines. [acikgunluk.net]

  Signs and Symptoms * redness, swelling and pain * itchy bumps or blisters * eczema-like lesions * dark patches on skin * chills and headaches * fever, nausea, vomiting * fatigue and dizziness * chronic sensitivity leads to thickening and scarring of the [steadyhealth.com]

  She denies any associated fevers, chills, headache, or muscle ache. She denies any exposure to pets, new soaps, detergents, or lotions, and she denies recent travel. [ahcmedia.com]

• Burning Pain

  Pain, Diagnosis photodermatitis Dark skin N Pregnancy N Immuno-suppression N photodermatitis Use of Cookies We use cookies to ensure that we give you the best experience on our website. [dermquest.com]

  In contrast, the photosensitivity in EPP occurs within minutes or hours after sun exposure, manifesting as a burning pain that persists for hours, often without any objective signs on the skin. [ijdvl.com]

• Unconsciousness

  Symptoms range from vague and non-specific feelings of unease through to nausea, dizziness, migraines, unconsciousness, and even photosensitive epileptic seizures. [vestibular.org]

• Diarrhea

  This disease commonly causes diarrhea, dementia, and dermatitis, and can eventually cause death if left untreated. This disease is most common in people who consume excessive amounts of maize, which lacks tryptophan. [skincancer.org]

  The other characteristic features are diarrhea and progressive dementia. Management The treatment of pellagra is with oral nicotinamide supplementation, 100-300 mg daily in 3-4 separate doses, until resolution of the major acute symptoms occurs. [ijdvl.com]

  Pellagra is a disorder characterized by dermatitis, diarrhea, dementia, and death. [ahcmedia.com]

• 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]

• Photosensitivity

  What is Photosensitivity? Photosensitivity, sometimes referred to as a sun allergy, is an immune system reaction that is triggered by sunlight. Photosensitivity reactions are usually characterized by an itchy eruption on patches of sun-exposed skin. [oakbrookderm.com]

  It refers almost exclusively to skin photosensitivity, including sunburn, reactions due to repeated prolonged exposure in the absence of photosensitizing factors, and reactions requiring photosensitizing factors such as photosensitizing agents and certain [berktree.com]

  Genetic Photosensitivity Disorders – Condition and Symptoms There are several types of genetic photosensitivity disorders which can potentially be disabling. [disability-benefits-help.org]

  (redirected from Photosensitivity disorders ) Also found in: Dictionary, Thesaurus. Photosensitivity Definition Photosensitivity refers to any increase in the reactivity of the skin to sunlight. [medical-dictionary.thefreedictionary.com]

  Many types of genetic photosensitivity disorders exist and all may potentially have a disabling effect. [michaelsullivanlaw.com]

• Dermatitis

  Description photodermatitis induced by contact with furocoumarins in a fig plant Primary Lesions Erythema flagellated erythema and blisters Vesicles Pathophysiology dermatoses due to physical factors / photodermatoses / phototoxic reactions / meadow dermatitis [dermquest.com]

  CONTACT DERMATITIS, PHOTOTOX DERMATITIS, phototoxic contact dermatitis (diagnosis), phototoxic contact dermatitis, Dermatitis photosensitive, Photosensitive reaction, Photosensitivity reaction (NOS), Photosensitivity reaction NOS, Reaction photosensitivity [fpnotebook.com]

  What is Photo-dermatitis? Photo-dermatitis is also often known as “Sun-poisoning” or “Photo-allergy”. [allergybestbuys.co.uk]

  Photosensitivity dermatitis * Atopic dermatitis * Contact irritant dermatitis Explanation: Photosensitivity dermatitis is more likely because contact dermatitis would be expected to involve all areas exposed to the allergen including furrows and creases [health.auckland.ac.nz]

  Google Scholar Kim KH. 56th autumn scientific congress: symposium 5; photosensitivity disorders: chronic actinic dermatitis. J Korean Dermatol. 2004a;42(20):84. [link.springer.com]

• Eruptions

  Polymorphous light eruption This eruption is a reaction to sunlight (primarily UVA light) that is not fully understood. [merckmanuals.com]

  Polymorphous Light Eruption This eruption is a reaction to sunlight (primarily UVA light) that is not fully understood. [oakbrookderm.com]

  […] presenting with this eruption include viral eruptions (e.g., Epstein-Barr virus, herpesvirus type 6), eruptions from a bacterial toxin, acute graft-versus-host disease, and Kawasaki disease. 5 Urticaria, Angioedema, and Anaphylaxis: Urticaria (hives) [uspharmacist.com]

  Abstract Dermatoses associated with cutaneous photosensitivity are a group of photodistributed skin eruptions caused or exacerbated by light. [ncbi.nlm.nih.gov]

  Polymorphous light eruption. In: Ander JE, Anderson TF, Amstrong RB, et al., editors. Dermatologic clinics. Philadelphia: W.B. Saunders Co; 1986. [link.springer.com]

• Urticaria

  Solar urticaria Hives (large, itchy red bumps or welts) that develop after only a few minutes of exposure to sunlight are called solar urticaria. The hives typically last for minutes or hours. [merckmanuals.com]

  Google Scholar Choi JH. 56th autumn scientific congress: symposium 5; photosensitivity disorders: solar urticaria. J Korean Dermatol. 2004;42(20):82. Google Scholar Epstein JH. Polymorphous light eruption. [link.springer.com]

  Urticarial responses are typical for solar urticaria; but urticarial lesions can also occur in erythropoietic porphyria. [accessemergencymedicine.mhmedical.com]

  Topics include: Introduction to photobiology; Evaluation of patients with photodermatologic conditions; Photoimmunology; Photoaging; Photocarcinogenesis; Polymorphous Light Eruption (PMLE); Actinic Prurigo; Hydroa vacciniforme and solar urticaria; Chronic [books.google.com]

  Types of Photosensitivity Disorders Solar Urticaria Hives that develop after only a few minutes of exposure to sunlight are called solar urticaria. The hives typically last for minutes or hours. [oakbrookderm.com]

• Hyperpigmentation

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

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

  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]

  Nevertheless, the most commonly observed symptoms of this condition are: Skin rash and itching Fluid-filled blisters or skin lesions Hives Redness and swelling Hyperpigmentation or the development of dark patches on the skin Dry and scaly skin patches [buzzle.com]

• 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]

• 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]

• 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]

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]

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]

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]

Length of treatment is typically 4-6 months though some patients are more prone to relapse and require longer treatment courses [ 14 - 18 ]. [omicsonline.org]

Koreans common skin disease diagnosis and treatment. 2nd ed. Seoul: Doctorsbook; 2009. Google Scholar Choi JH. 56th autumn scientific congress: symposium 5; photosensitivity disorders: solar urticaria. J Korean Dermatol. 2004;42(20):82. [link.springer.com]

[…] 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]

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

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]

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]

[…] 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]

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]

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]

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]

"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]

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]

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]

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]

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]

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]