The photosensitivity dermatitis and actinic reticuloid syndrome (chronic actinic dermatitis) occurring in seven young atopic dermatitis patients.
Seven young patients with atopic dermatitis (AD) who presented with a marked photoexposed site dermatitis have been investigated in detail. The results of phototesting, patch testing and other investigations were compatible with the diagnosis of photosensitivity dermatitis/actinic reticuloid syndrome (PD/AR) (chronic actinic dermatitis). It is known that AD patients may have photoaggravation of their dermatitis or exacerbation secondary to a photodermatosis, such as polymorphic light eruption, actinic prurigo or drug-induced phototoxicity. The patients we describe, however, appear to be an uncommon AD subgroup affected by PD/AR. We recommend that all AD patients who have a history of sunlight-induced exacerbation or marked intolerance of PUVA or ultraviolet B phototherapy should have phototesting and patch testing conducted.
Russell
S C
SC
Department of Dermatology, Ninewells Hospital and Medical School, Dundee, U.K.
Dawe
R S
RS
Collins
P
P
Man
I
I
Ferguson
J
J
D000328:Adult; D002648:Child; D002908:Chronic Disease; D003876:Dermatitis, Atopic / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D010328:Patch Tests; D010787:Photosensitivity Disorders / Q000209:etiology* / Q000473:pathology; D013472:Sunlight / Q000009:adverse effects