Bethesda, MD 20894, Web Policies Accessed Dec. 9, 2021. Find out if kids need different sunscreens from adults, if sunscreen can be toxic, and whether it matters if youre slathering on SPF 100. The reaction usually happens during spring and early summer when exposure to sunlight increases. ncbi.nlm.nih.gov/pmc/articles/PMC7379702/, ncbi.nlm.nih.gov/pmc/articles/PMC8323194/, ncbi.nlm.nih.gov/pmc/articles/PMC6139322/, dermnetnz.org/topics/polymorphic-light-eruption, nhs.uk/conditions/polymorphic-light-eruption/, aad.org/public/everyday-care/sun-protection/shade-clothing-sunscreen/what-to-wear-protect-skin-from-sun, Every Sunscreen Question You Have, Answered, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. 2016 Mar;15(3):440-6. doi: 10.1039/c5pp00398a. Murphy F, et al. Lesions may vary from patient to patient; however, spontaneous resolution (on cessation of sun exposure) is often a unifying trait. This involves exposure of 5-cm squares of usually-affected skin to 12 minimal erythema doses (MED) of broadband UVB and to varying doses of UVA. PLE causes small bumps or raised plaques on the skin. 8600 Rockville Pike Photochemical [PubMed PMID: 22961505], Richards HL,Ling TC,Evangelou G,Brooke RC,Fortune DG,Rhodes LE, Evidence of high levels of anxiety and depression in polymorphic light eruption and their association with clinical and demographic variables. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Is the ketogenic diet right for autoimmune conditions? It affects all skin types but is more common in lighter skin especially Fitzpatrick skin phototype 1, than in darker skins. Polymorphic light eruption. Learning Point. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Blood tests might also be used to rule out other conditions. Dermatoses resulting from physical factors. Its most pronounced during the spring and early summer. Skin diseases due to physical and chemical causes", https://en.wikipedia.org/w/index.php?title=Polymorphous_light_eruption&oldid=1127125983, Skin conditions resulting from physical factors, Pages containing links to subscription-only content, Creative Commons Attribution-ShareAlike License 3.0, Shortly after sun exposure in people younger than age 30-years, This page was last edited on 13 December 2022, at 01:14. Accessed Nov. 12, 2021. PMLE is characterized by recurrent, abnormal, delayed reactions to sunlight, ranging from erythematous papules, papulovesicles, and plaques to erythema multiforme -like . It mimics the increased exposure you would experience during a summer. All rights reserved. PLE mainly affects females with the mean disease onset being in the second to third decade of life ( 3,4 ). Experts recommend using sunscreen thats SPF 50, broad spectrum (meaning it blocks both UVA and UVB rays), and water-resistant. Its the most common skin condition caused by sunlight. There are several types of "sun allergies," but polymorphous light eruption (PMLE), an autoimmune condition in the skin that occurs after sun exposure, is one of the most common. Koulu LM, Laihia JK, Peltoniemi HH, Jansn CT. J Invest Dermatol. Tests may include: Your health care provider might need to rule out other disorders characterized by light-induced skin reactions. Hlzle E, Plewig G, von Kries R, Lehmann P. J Invest Dermatol. Consider wearing clothing designed to provide sun protection. [2], The main differential diagnosis is photosensitivity associated with lupus erythematosus, which may behave and appear similar but tends to be more persistent. The https:// ensures that you are connecting to the Unauthorized use of these marks is strictly prohibited. Distribution can include areas exposed to sunlight such as the arms, lower legs, V of the neck, and the chest. Advertising revenue supports our not-for-profit mission. Do they require any special preparation? Your first eruption of the year may be the most severe, with following eruptions progressively subtler. You cant catch it from someone else who has it, and if you have it, you cant pass it to others. Polymorphous light eruption is generallyuncomplicated but severe disease can lead to emotional distress, anxiety and depression. Polymorphous light eruption: clinic aspects and pathogenesis. If the symptoms have a clear connection to sun exposure, the doctor may base a diagnosis on this. Endogenous estrogen exacerbates UV-induced inflammation and photoaging in mice. Variegate porphyria[19] and hereditary coproporphyria[20] can also exhibit symptoms of light-induced blisters. Polymorphic light eruption 1989;120(2):173183. These are good practices for everyone, with or without PMLE. Before Your health care provider may suggest phototherapy to prevent seasonal episodes of polymorphous light eruption if you have disabling symptoms. MNT is the registered trade mark of Healthline Media. None are generally needed. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. 2014 Jul;32(3):315-34, viii. Polymorphous light eruption is a common photosensitive reaction to UV and sometimes visible light. 2003;207(1):93-5. doi: 10.1159/000070956. 2015 Aug;173(2):519-26. doi: 10.1111/bjd.13930. 2nd picture. [1][2], UV-A is theusualpart of the electromagnetic spectrum that provokes polymorphous light eruption (75% to 90%). Polymorphous light eruption (PMLE) is a common acquired disease entity belonging to the idiopathic photodermatoses. Abstract. Learn more about symptoms, causes, comparisons to other sun-induced conditions, and more, Solar urticaria is often confused for heat rash, but it does not occur due to humidity. It can be mildly to markedly pruritic and general malaise, headache, fever, and nausea can occur in rare cases. Well go over the causes of an ear keloid before diving into. In up to 50% of cases, people with PLE have family members who also have the condition. Have you had a fever associated with the rash? Dark lips are often the result of hyperpigmentation. Lupus Lupus will also show a superficial and deep dermatitis but there is also often basement membrane thickening and dermal mucin. Careers. Thus, a patient may benefit from a mental health counsultant. This rash is also known as PMLE, sun allergy or sun poisoning. You might start feeling the symptoms at any age, but it typically begins in ages 20 to 40. The eruption is treated with topical corticosteroids with some benefit in reducing symptoms and duration. Epub 2010 Jul 8. van de Pas CB, Kelly DA, Seed PT, Young AR, Hawk JL, Walker SL. Polymorphic light eruption pathology The researchers gave participants a supplement that contained: After 12 weeks, the participants taking the supplement had less severe symptoms than those who did not take it. PLE is a relatively common skin disorder that is not easy to diagnose or manage. More people experience polymorphic light eruption at high altitude than at sea level.[1]. A 20-year-old woman with fair skin presents with intensely itchy small papules on the V-shaped neck area and dorsal aspects of her arms. Polymorphic Light Eruption (PLE) (also known as polymorphous light eruption and benign summer light eruption) is a recurrent, itchy skin eruption occurring on exposed skin sites after sun exposure, which heals without scarring within 14 days ().The presenting skin eruption is most commonly spots and blisters but may also take other forms, including plaques (raised . Despite the fact that polymorphous light eruption (PLE) is the most common photodermatosis, affecting 15% of healthy people in the UK, its pathogeny remains unclear. Figure 2 J Eur Acad Dermatol Venereol. In the northern hemisphere, people who are prone to PLE often experience this condition in spring, when light levels begin to increase and people start wearing clothes for warmer weather. Polymorphous light eruption (PLE) is a common skin rash that occurs due to sunlight exposure. arrow-right-small-blue What to wear to protect your skin from the sun. If there is still doubt about the cause of the symptoms, a doctor may recommend tests to rule out other explanations. It most often (about 75% of cases) begins in females aged 20 to 40 years but may start in childhood or later in life. Is this condition temporary or long lasting? Exposure to sunlight in spring or summer results in an irritable rash that resolves within a few days, providing further exposure is avoided. These healthcare professionals should educate the patients on preventio which includes wearing appropriate garments when going outside and use ample sunscreen frequently. [5]. [2], The rash may persist for many days to a couple of weeks,[5] resolving spontaneously without scarring as long as further sunlight exposure is avoided. Polymorphic light eruption, Author(s): Dr Prudence Gramp, Dermatology Department, Gold Coast University Hospital, Australia. Anyone can have PMLE, but its more common for people with lighter color skin, particularly Fitzpatrick skin type 1. There is a phenomenon called the skin hardening effect where chronic exposure to sunlight leads to skin changes including increased melanin and thickening of the stratum corneum. PMLE can appear on any part of your body exposed to UV light, although it rarely appears on your face. Some people are able to build a tolerance to UV light by gradually spending time outdoors or using phototherapy. What's the most likely cause of my symptoms? Last night I washed my face and removed eye makeup as usual, but didn't apply hyaluronic acid serum or eye cream. Accessed Dec. 9, 2021. Long-term course of polymorphic light eruption: A registry analysis. Note slight vacuolar alterations of cells and liquefaction degeneration at the dermo-epidermal junction. An official website of the United States government. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Smooth red-topped small papules which merge into plaques, small fluid-filled blisters (papulovesicles)[2] and less commonly target-shaped lesions which look like erythema multiforme may be visible. UV-A is a major constituent of sunlight, can pass through glass, is relatively resistant to sunscreen and can cause light eruption without sunburn.
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