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DermAtlas: HAND - polymorphous light eruption
© 2001-2010, DermAtlas
Image Name: polymorphous_light_eruption_6_050404   File Type: jpg
Diagnosis: POLYMORPHOUS LIGHT ERUPTION   Category: photosensitivity, photoexacerbated
Body Site: hand   Age: 12 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple, symmetric, edematous red papules in sunexposed areas
Comments: A 12-year-old boy developed a pruritic eruption on the face, ears, upper chest and the dorsa of hands soon after returning from a school excursion trip 2 days ago. He improved with sun protection measures, protective clothing, topical steroids and oral beta carotene.
Related Images: All related Images  polymorphous_light_eruption_7_050404  polymorphous_light_eruption_5_050404  polymorphous_light_eruption_4_050404  polymorphous_light_eruption_3_050404  polymorphous_light_eruption_2_050404  polymorphous_light_eruption_1_050404 

DermAtlas: FACE - polymorphous light eruption
© 2001-2010, DermAtlas
Image Name: polymorphous_light_eruption_7_050404   File Type: jpg
Diagnosis: POLYMORPHOUS LIGHT ERUPTION   Category: photosensitivity, photoexacerbated
Body Site: face / cheek   Age: 12 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple, symmetric, edematous red papules in sunexposed areas
Comments: A 12-year-old boy developed a pruritic eruption on the face, ears, upper chest and the dorsa of hands soon after returning from a school excursion trip 2 days ago. He improved with sun protection measures, protective clothing, topical steroids and oral beta carotene.
Related Images: All related Images  polymorphous_light_eruption_6_050404  polymorphous_light_eruption_5_050404  polymorphous_light_eruption_4_050404  polymorphous_light_eruption_3_050404  polymorphous_light_eruption_2_050404  polymorphous_light_eruption_1_050404 

DermAtlas: HAND - polymorphous light eruption
© 2001-2010, DermAtlas
Image Name: polymorphous_light_eruption_1_040614   File Type: jpg
Diagnosis: POLYMORPHOUS LIGHT ERUPTION   Category: photosensitivity, photoexacerbated /
papulosquamous eruptions
Body Site: hand / wrist   Age: 32 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple, symmetric, photodistributed, erythematous papules and vesicles
Comments: This 32-year-old woman developed an itchy papulovesicular eruption in sunexposed areas including the tops of her hands, forearms, face, neck, and upper chest one month earlier. She had a histoty of excessive sunexposure prior to the eruption. She improved with sun protection measures, protective clothing, topical steroids and betacarotene.
Related Images: All related Images  polymorphous_light_eruption_4_040614  polymorphous_light_eruption_3_040614  polymorphous_light_eruption_2_040614 

DermAtlas: FOREARM - polymorphous light eruption
© 2001-2010, DermAtlas
Image Name: polymorphous_light_eruption_2_040614   File Type: jpg
Diagnosis: POLYMORPHOUS LIGHT ERUPTION   Category: photosensitivity, photoexacerbated /
papulosquamous eruptions
Body Site: forearm   Age: 32 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple, symmetric, photodistributed, erythematous papules and vesicles
Comments: This 32-year-old woman developed an itchy papulovesicular eruption in sunexposed areas including the tops of her hands, forearms, face, neck, and upper chest one month earlier. She had a histoty of excessive sunexposure prior to the eruption. She improved with sun protection measures, protective clothing, topical steroids and betacarotene.
Related Images: All related Images  polymorphous_light_eruption_4_040614  polymorphous_light_eruption_3_040614  polymorphous_light_eruption_1_040614 

DermAtlas: FACE - polymorphous light eruption
© 2001-2010, DermAtlas
Image Name: polymorphous_light_eruption_3_040614   File Type: jpg
Diagnosis: POLYMORPHOUS LIGHT ERUPTION   Category: photosensitivity, photoexacerbated /
papulosquamous eruptions
Body Site: face / cheek   Age: 32 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple, symmetric, photodistributed, erythematous papules and vesicles
Comments: This 32-year-old woman developed an itchy papulovesicular eruption in sunexposed areas including the tops of her hands, forearms, face, neck, and upper chest one month earlier. She had a histoty of excessive sunexposure prior to the eruption. She improved with sun protection measures, protective clothing, topical steroids and betacarotene.
Related Images: All related Images  polymorphous_light_eruption_4_040614  polymorphous_light_eruption_2_040614  polymorphous_light_eruption_1_040614 

DermAtlas: FACE - polymorphous light eruption
© 2001-2010, DermAtlas
Image Name: polymorphous_light_eruption_4_040614   File Type: jpg
Diagnosis: POLYMORPHOUS LIGHT ERUPTION   Category: photosensitivity, photoexacerbated /
papulosquamous eruptions
Body Site: face / forehead   Age: 32 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple, symmetric, photodistributed, erythematous papules and vesicles
Comments: This 32-year-old woman developed an itchy papulovesicular eruption in sunexposed areas including the tops of her hands, forearms, face, neck, and upper chest one month earlier. She had a histoty of excessive sunexposure prior to the eruption. She improved with sun protection measures, protective clothing, topical steroids and betacarotene.
Related Images: All related Images  polymorphous_light_eruption_3_040614  polymorphous_light_eruption_2_040614  polymorphous_light_eruption_1_040614 

DermAtlas: FACE - juvenile spring eruption
© 2001-2010, DermAtlas
Image Name: juvenile_spring_eruption_1_040407   File Type: jpg
Diagnosis: JUVENILE SPRING ERUPTION /
POLYMORPHOUS LIGHT ERUPTION /
HYDROA VACCINIFORME
  Category: photosensitivity, photoexacerbated /
vesiculobullous eruptions
Body Site: face   Age: 3 years
Contributor: Bernard Cohen, MD    
Description: symmetric photodistributed vesicles, punched out erosions and crusts
Comments: This healthy toddler developed a photodistributed necrotic crusted vesicular eruption on her face, ears, and the tops of her hands while on a trip to Florida in the early spring. A skin biopsy showed an intraepidermal vesicle with a mononuclear cell dermal infiltrate.
Related Images: All related Images  juvenile_spring_eruption_3_040407  juvenile_spring_eruption_2_040407 

DermAtlas: HAND - juvenile spring eruption
© 2001-2010, DermAtlas
Image Name: juvenile_spring_eruption_2_040407   File Type: jpg
Diagnosis: JUVENILE SPRING ERUPTION /
POLYMORPHOUS LIGHT ERUPTION /
HYDROA VACCINIFORME
  Category: photosensitivity, photoexacerbated /
vesiculobullous eruptions
Body Site: hand   Age: 3 years
Contributor: Bernard Cohen, MD    
Description: symmetric photodistributed vesicles, punched out erosions and crusts
Comments: This healthy toddler developed a photodistributed necrotic crusted vesicular eruption on her face, ears, and the tops of her hands while on a trip to Florida in the early spring. A skin biopsy showed an intraepidermal vesicle with a mononuclear cell dermal infiltrate.
Related Images: All related Images  juvenile_spring_eruption_3_040407  juvenile_spring_eruption_1_040407 

DermAtlas: EAR - juvenile spring eruption
© 2001-2010, DermAtlas
Image Name: juvenile_spring_eruption_3_040407   File Type: jpg
Diagnosis: JUVENILE SPRING ERUPTION /
POLYMORPHOUS LIGHT ERUPTION /
HYDROA VACCINIFORME
  Category: photosensitivity, photoexacerbated /
vesiculobullous eruptions
Body Site: ear   Age: 3 years
Contributor: Bernard Cohen, MD    
Description: symmetric photodistributed vesicles, punched out erosions and crusts
Comments: This healthy toddler developed a photodistributed necrotic crusted vesicular eruption on her face, ears, and the tops of her hands while on a trip to Florida in the early spring. A skin biopsy showed an intraepidermal vesicle with a mononuclear cell dermal infiltrate.
Related Images: All related Images  juvenile_spring_eruption_2_040407  juvenile_spring_eruption_1_040407 

DermAtlas: FOREARM - hydroa vacciniforme
© 2001-2010, DermAtlas
Image Name: Hidroa_vacciniformis_1_030412   File Type: jpg
Diagnosis: HYDROA VACCINIFORME /
POLYMORPHOUS LIGHT ERUPTION
  Category: photosensitivity, photoexacerbated /
environmental injury
Body Site: forearm   Age: 10 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple symmetric crusted 3-4 mm vaccination-like vesicles and scars
Comments: This 10-year-old boy was evaluated for a 2 year history of recurrent uniform round 3-4 mm blisters healing with depressed vaccination-like scars on sun exposed areas. The eruption worsened in the summer.. Hidroa vacciniforme is a vesiculobullous eruption that appears on sun-exposed skin during childhood tends to recur in the summer. The lesions are surrounded by an erythematous zone and resemble a smallpox vaccination. Punched out chicken pox or vaccination like scars are characteristic.This rare chronic photodermatosis resolves spontaneously in early adulthood, and is not usually associated with systemic disease.
Related Images: All related Images  Hidroa_vacciniformis_3_030412  Hidroa_vacciniformis_2_030412 

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Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Jan-18-2010
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