Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- sun exposure
- lack of sun protection
- skin discomfort
- pruritus
- skin tenderness
- sensation of warmth
- erythema
Otros factores de diagnóstico
- chronic actinic damage
- malaise, fever, chills, nausea, headache
- edema
- vesicles/bullae
Factores de riesgo
- 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
Pruebas diagnósticas
Pruebas diagnósticas que deben considerarse
- skin biopsy
- phototesting
Algoritmo de tratamiento
all patients
Colaboradores
Autores
Elena B. Hawryluk, MD, PhD
Assistant Professor
Department of Dermatology
Harvard Medical School
Boston
MA
Divulgaciones
EBH is an author and reviewer for UpToDate and has previously consulted for Apogee and Skin Analytics. EBH declares that her spouse receives salary and stock from Gritstone Oncology LLC, is on an advisory board of Path AI, and is on the Board of Directors of Predictive Oncology, Inc.
Agradecimientos
Dr Elena B. Hawryluk would like to gratefully acknowledge Dr Aimee S. Payne and Dr Ronald M. Bernardin, previous co-contributors to this topic. ASP and RMB declare that they have no competing interests.
Revisores por pares
Chad M. Hivnor, Major, USAF, MC, FS
Chief
Outpatient & Pediatric Dermatology
59th Medical Wing/ SGOMD
Lackland Air Force Base
San Antonio
TX
Divulgaciones
CMH declares that he has no competing interests.
Stephen Richardson, MD, FAAD
Clinical Assistant Professor
Florida State University College of Medicine
Tallahassee
FL
Divulgaciones
SR declares that he has no competing interests.
Ravi Ubriani, MD, FAAD
Assistant Professor of Clinical Dermatology
Columbia University
New York
NY
Divulgaciones
RU declares that he has no competing interests.
Peter M. Farr, MD, FRCP
Consultant Dermatologist and Professor of Clinical Photobiology
Royal Victoria Infirmary
Newcastle upon Tyne
UK
Divulgaciones
PMF declares that he has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988 Jun;124(6):869-71. Resumen
Centers for Disease Control and Prevention. Sunburn and sun protective behaviors among adults aged 18-29 years--United States, 2000-2010. MMWR Morb Mortal Wkly Rep. 2012;61:317-322.Texto completo Resumen
Han A, Maibach, HI. Management of acute sunburn. Am J Clin Dermatol. 2004;5:39-47. Resumen
US Preventive Services Task Force. Recommendation Statement. Behavioral Counseling to Prevent Skin Cancer. Mar 2018 [internet publication].Texto completo
Whiteman DC, Neale RE, Aitken J, et al. When to apply sunscreen: a consensus statement for Australia and New Zealand. Aust N Z J Public Health. 2019 Apr;43(2):171-5.Texto completo Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Polymorphous light eruption (PMLE)
- Phototoxic dermatitis
- Photoallergic dermatitis
Más DiferencialesFolletos para el paciente
Burns
Skin cancer (melanoma)
Más Folletos para el paciente
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