Last reviewed: November 2017
Last updated: July  2017

Summary

Definition

History and exam

Key diagnostic factors

  • sun exposure
  • lack of sun protection
  • skin discomfort
  • pruritus
  • skin tenderness
  • sensation of warmth
  • erythema

Other diagnostic factors

  • chronic actinic damage
  • malaise, fever, chills, nausea, headache
  • edema
  • vesicles/bullae

Risk factors

  • Fitzpatrick skin type I-III
  • photosensitizing medications
  • intentional tanning
  • lack of or improper use of sunscreen
  • injudicious sun exposure
  • age under 6 months
  • immunosuppression
  • history of skin cancer

Diagnostic investigations

Investigations to consider

  • skin biopsy
  • phototesting
Full details

Treatment algorithm

ACUTE

Contributors

Authors VIEW ALL

Aimee S. Payne

Assistant Professor

Department of Dermatology

University of Pennsylvania

Philadelphia

PA

Disclosures

ASP declares that she has no competing interests.

Dr Aimee S. Payne would like to gratefully acknowledge Dr Ronald M. Bernardin, a previous co-contributor to this monograph. RMB declares that he has no competing interests.

Peer reviewers VIEW ALL

Chief

Outpatient & Pediatric Dermatology

59th Medical Wing/ SGOMD

Lackland Air Force Base

San Antonio

TX

Disclosures

CMH declares that he has no competing interests.

Clinical Assistant Professor

Florida State University College of Medicine

Tallahassee

FL

Disclosures

SR declares that he has no competing interests.

Assistant Professor of Clinical Dermatology

Columbia University

New York

NY

Disclosures

RU declares that he has no competing interests.

Consultant Dermatologist and Professor of Clinical Photobiology

Royal Victoria Infirmary

Newcastle upon Tyne

UK

Disclosures

PMF declares that he has no competing interests.

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