title: Use of Oral Polypodium Leucotomos Extract in Chronic Photoinduced Hypersensitivity Dermatitis.
abstract: A 52-year-old man with Fitzpatrick type V skin presented for evaluation of a photodistributed eruption of unknown origin. The patient reported a 20-year history of the dermatitis, with worsening severity during the past 6 years. He had required one hospital admission with intravenous methylprednisolone and two extended courses of oral prednisone (starting dose of 60 mg/d). He complained of pruritus and swelling localized to the sun-exposed areas of the forearms, face, and neck, with notable sparing of photoprotected areas of his skin. He denied new medications, and a systemic review of systems was noncontributory.
authors.affiliation: Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, RI.
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Luber
authors.affiliation: Compass Dermatopathology, La Jolla, CA.
authors.forename: Antoanella
authors.initials: A
authors.lastname: Calame
authors.affiliation: Department of Dermatology, Loma Linda University, Loma Linda, CA.|Dermatitis Academy, Redlands, CA; sjacob@contactderm.net.
authors.forename: Sharon E
authors.initials: SE
authors.lastname: Jacob
mesh_terms: D000284:Administration, Oral; D003872:Dermatitis / Q000188:drug therapy* / Q000209:etiology; D003879:Dermatologic Agents / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010787:Photosensitivity Disorders / Q000188:drug therapy*; D010936:Plant Extracts / Q000008:administration & dosage*; D032494:Polypodium / Q000737:chemistry*
chemical_list: D003879:Dermatologic Agents; D010936:Plant Extracts