Severe chronic photosensitivity in association with acquired immunodeficiency syndrome

Photosensitivity in HIV‐Infected Individuals

“…There is limited data on photosensitivity in HlV-infected individuals. Previously, we and other researchers reported that photosensitive HlV-positive patients usually have advanced HlV disease (Helper T cell count less than 200 cells/uL, and frequently less than 50 cells/uL) (1)(2)(3)(4)(5). Despite their advanced disease, however, photodermatitis may be the initial presen tation of HIV infection (1).…”

“…1. Initial MED testing of a patient 24 hours after initial photochallenge test with severe sensitivity to both UVB (shown as circles over lower back, starting with 17 mJ/cm 2 ) and to UVA (shown as squares over upper back, starting with 5 J/cm2) ever, has demonstrated intolerance of phototherapy in some patients. We, therefore, examined 13 patients with EF but no history of photodermatitis by MED phototesting to UVB to determine if they were subclinically photosensitive.…”

Dermatology in the North American Indian/Alaska Native population

“…A study by Vin‐Christian showed that seven of 13 HIV‐positive patients with photodermatitis were AIAN . While photosensitivity in patients with HIV has been reported in the literature since the 1980s, and previous studies have characterized HIV photodermatitis eruptions as prurigo nodules and noted upper lip involvement, the study by Vin‐Christian was one of the first to include AIAN patients and highlight the similarity of the clinical presentation of HIV photodermatitis to AP …”

Lichenoid Photoeruptions in Human Immunodeficiency Virus Infection

“…The skin disease may extend to involve non-sun-exposed areas and even generalize.4 We believe that these lichenoid photodis¬ tributed eruptions may represent a part of the spec¬ trum of HIV-associated photosensitivity and not a variant of idiopathic LP. 17 The absence of oral mucous membrane involvement except for the lower lip sup¬ ports that this disorder is different from idiopathic LP as well. We were unable to find a case of classic idio¬ pathic LP in an HIV-infected patient.…”