Juvenile spring eruption: clinicopathologic features and phototesting results in 4 cases - 24/08/11
, Christina Antoniou, MD a, Pavlos Papadakis, MD b, Apostolos Papapostolou, MD b, Dimitrios Sabatziotis, MD b, Konstantina Tranaka, RN a, Konstantina Tsara, RN a, Andreas D Katsambas, MD aAbstract |
Juvenile spring eruption is a distinct photodermatosis characterized by the development of papules and vesicles on light-exposed areas of the ears usually in the early springtime. It primarily affects boys and young men, and has a tendency to occur in the form of small epidemics. We report a similar outbreak in separate groups of soldiers who were performing military exercises during cold and sunny weather of a midwinter season. The clinicopathologic features and phototesting results are described in 4 of these cases. All patients showed normal erythemal responses to monochromator phototesting with UV and visible wave bands. Photoprovative testing with repeated daily exposures of the ears to a broadband UVA source provoked diffuse erythema and itching in 1 case, whereas similar photoprovocation of a nonaffected area, ie, the flexor surface of the forearm, in 2 patients did not yield a skin reaction. Although the cause of juvenile spring eruption is not known, our observations further strengthen the hypothesis that the disorder is a localized variant of polymorphous light eruption.
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| Supported in part by the European Union Framework Programme, Project No. QLK4-CT01-0075. Conflicts of interest: None. |
Vol 50 - N° 2S
P. 57-60 - febbraio 2004 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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