Photoaggravated dermatoses

LAST UPDATED: Jan 20, 2021

Introduction

A range of skin conditions can be aggravated or exacerbated by natural or artificial UV or visible radiation, although they also occur in the absence of sun exposure. This chapter provides a list of such conditions. For conditions caused (rather than aggravated) by UV exposure refer to the related chapter on photodermatoses - an overview. 


Aetiology

The conditions listed below are heterogeneous and generally only a proportion of patients with such conditions experience photoaggravation and they may or may not be aware of the triggering role of sunlight.

  • Melasma
  • Rosacea
  • Herpes simplex
  • Lupus erythematosus
  • Psoriasis and eczema - the majority improve with sun exposure, but approximately 10% or less of patients have worsening of symptoms with sun exposure
  • Darier's disease and transient acantholyic dermatosis
  • Dermatomyositis
  • Disseminated superficial actinic porokeratosis
  • Erythema multiforme 
  • Jessner's lymphocytic infiltrate
  • Lymphocytoma cutis 
  • Lichen planus 
  • Urticaria
  • Acne vulgaris
  • Blistering conditions - bullous pemphigoid, pemphigus and Hailey‐Hailey disease, linear IgA disease, dermatitis herpetiformis 
  • Pellagra 
  • Mycosis fungoides 
  • Vitiligo 
  • Pityriasis rubra pilaris 
  • Reticular erythematous mucinosis 
  • Actinic granuloma 
  • Keratosis pilaris 
  • Sweet's syndrome

Management

  • Photoprotection and treatment of the underlying condition are the mainstay approaches to management of these conditions

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