Nichthereditäre Photodermatosen im Kindesalter

Ott, Hagen; Baron, Jens Malte

doi:10.1007/s00105-006-1255-z

Cited by 4 publications

(7 citation statements)

References 34 publications

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“…Effective prophylaxis can be achieved in the majority of children – including our patients – by mechanical photoprotection and regular use of broad‐spectrum sunscreens containing mainly physical blockers such as micronized TiO 2 . In some cases, preseasonal ‘light hardening’ with a low dose of UVB (23) or UVA (24) is helpful in preventing recurrence. We have also had good experience with it in adulthood, but rarely in children (25).…”

Section: Idiopathic Photodermatosesmentioning

confidence: 99%

“…All three cases recorded at our department were typical phytophotodermatitis. Pseudoporphyria caused by non‐steroidal, anti‐inflammatory drugs such as naproxen (32) and drug‐induced systemic phototoxicity with widespread eruptions are not so frequent in children (24). We have not observed such cases for the time being.…”

Section: Photosensitivity Secondary To Exogenous Agentsmentioning

confidence: 99%

“…The very rare HV Bazin classically arises in childhood and tends to heal spontaneously during adolescence (24). Two cases, one girl and one boy, were recorded at our department over the last three decades (29).…”

Section: Idiopathic Photodermatosesmentioning

confidence: 99%

“…Photosensitivity usually persists over the entire lifetime. Preventing the recurrence is rather difficult (24, 26). A unique familial SU case in a 2‐year‐old Hungarian boy and his first‐degree relatives of three generations (age of the patients: 3–78 years) was presented at the Eighth European Society for Pediatric Dermatology Congress in Budapest, 2005 (28).…”

Section: Idiopathic Photodermatosesmentioning

confidence: 99%

“…Two cases, one girl and one boy, were recorded at our department over the last three decades (29). The skin lesions, itchy papules and vesicles with surrounding erythema resolving with characteristic vacciniforme scars manifested at the age of 3 and 6 years, respectively, and reoccurred year by year despite prophylactic measurements with broad‐spectrum sunscreens and recommended oral β‐carotene (24). The disorder of the girl healed spontaneously after puberty, whereas the boy unfortunately died because of an intercurrent disease at 9 years of age.…”

Section: Idiopathic Photodermatosesmentioning

confidence: 99%

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Photosensitivity skin disorders in childhood

Horkay

Emri

Varga

et al. 2008

Photoderm Photoimm Photomed

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SummaryPhotosensitivity in childhood is caused by a diverse group of diseases. It usually indicates idiopathic photodermatoses, first of all polymorphic light eruption. It may be an early symptom of genetic disorders such as porphyria or very rare genophotodermatoses. Photosensitivity secondary to topical or systemic external agents as well as photoexacerbated dermatoses is not so frequent in childhood. Here we present our experience with childhood photosensitivity skin diseases collected over a 40-year period. L ight-induced skin eruptions are not a common problem in pediatric dermatology. However, the condition often causes trouble and discomfort to the affected child and the parents.The literature on childhood photodermatoses (PDs) is relatively scanty. The incidence of PDs in childhood is much lower than in adults (1). According to the paper published by Jansén (2), photosensitivity started at the age of 15 years or earlier in 26% of the cases out of a total of 370 PD patients. There is also a shortage of primary data on the prevalence of PDs classified recently by Yashar and Lim (3) such as (i) idiopathic PD: polymorphic light eruption (PLE), juvenile spring eruption of the ears (JSE), solar urticaria (SU), hydroa vacciniforme (HV), (ii) photosensitivity secondary to exogenous agents, (iii) cutaneous porphyrias, (iv) genophotodermatoses and (v) photoexacerbated/aggravated disorders. The paper presents experience with PDs in childhood (83 cases) collected at the Department of Dermatology, Debrecen, between 1967 and 2006.The diagnosis in the vast majority of PD cases in children is PLE, whereas the order of other diseases is quite variable depending on geographic and genetic conditions. In the Finnish report (2) mentioned before, PLE was followed by xeroderma pigmentosum (XP) and then erythropoietic protoporphyria (EPP), while no cases were recorded from external photosensitizers. According to other literary data, phototoxic dermatitis occurs relatively often besides idiopathic PDs during childhood (4). Similar to these findings the most frequent diagnosis at our Department of Dermatology was also PLE. However, we recorded a rather high number of EPP cases and some porphyria cutanea tarda (PCT) as well, but only a few cases of XP (Table 1).Diagnosis of PD in childhood is not as easy as in adulthood (5). In the history occasionally (mostly in EPP) a family history is noted, such as in our patient material (6). The clinical picture is featured by various kinds of eruptions localized typically on the sun-exposed skin. The diagnosis in childhood can also be confirmed by phototests. Most informative is the provocation test used to reproduce lesions of idiopathic PDs (5). We perform it with ultraviolet (UV)B and UVA separately (Multitester SBB LT 400; Saalmann, Herford, Germany) (7) according to the protocol of Lehmann et al. (8). Photopatch testing for identifying external photosensitizer(s) is not performed commonly in children. We have not used it in our practice. Concerning laboratory tests, in porphyrias spect...

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Section: Idiopathic Photodermatosesmentioning

confidence: 99%

Section: Photosensitivity Secondary To Exogenous Agentsmentioning

confidence: 99%

Section: Idiopathic Photodermatosesmentioning

confidence: 99%

Section: Idiopathic Photodermatosesmentioning

confidence: 99%

Section: Idiopathic Photodermatosesmentioning

confidence: 99%

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Photosensitivity skin disorders in childhood

Horkay

Emri

Varga

et al. 2008

Photoderm Photoimm Photomed

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Differenzialdiagnose der Photodermatosen — ein einfacher Algorithmus

Lehmann¹

2009

Fortschritte Der Praktischen Dermatologie Und Venerologie

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Photodermatoses in Childhood

Мурашкин

Амбарчян

Епишев

et al. 2021

Vopr. sovr. pediatr.

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Photodermatoses is a heterogeneous group of diseases resulting from abnormal skin hypersensitivity to sunlight and presented as local or generalized rashes. Specific sensitivity of children's skin to ultraviolet is often the first sign or clinical symptom of photodermatosis. Abnormal photosensitivity can be represented by diverse group of primary idiopathic conditions or photo-mediated aggravation of existing dermatosis. Number of genetic genodermatoses, metabolic disorders and connective tissue diseases is also widely known. These conditions can manifest with photosensitivity associated to other extracutaneous clinical and laboratory features. Timely diagnosis of photosensitivity in childhood allows to minimize long-term complications associated with insufficient photoprotection.

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Nichthereditäre Photodermatosen im Kindesalter

Cited by 4 publications

References 34 publications

Photosensitivity skin disorders in childhood

Photosensitivity skin disorders in childhood

Differenzialdiagnose der Photodermatosen — ein einfacher Algorithmus

Photodermatoses in Childhood

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