Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- presença de fatores de risco
- exposição ao sol
- falta de proteção solar
- desconforto cutâneo
- prurido
- sensibilidade cutânea
- sensação de calor
- eritema
Другие диагностические факторы
- danos actínicos crônicos
- mal-estar, febre, calafrios, náuseas, cefaleia
- edema
- vesículas/bolhas
Факторы риска
- fototipos cutâneos I-III da escala Fitzpatrick
- medicamentos fotossensibilizadores
- bronzeamento intencional
- falta ou uso inadequado de filtro solar
- exposição imprudente ao sol
- idade abaixo de 6 meses
- imunossupressão
- história de câncer de pele
Диагностические исследования
Исследования, проведение которых нужно рассмотреть
- biópsia de pele
- fotoexame
Алгоритм лечения
todos os pacientes
Составители
Авторы
Elena B. Hawryluk, MD, PhD
Assistant Professor
Department of Dermatology
Harvard Medical School
Boston
MA
Раскрытие информации
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.
Выражение благодарностей
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.
Рецензенты
Chad M. Hivnor, Major, USAF, MC, FS
Chief
Outpatient & Pediatric Dermatology
59th Medical Wing/ SGOMD
Lackland Air Force Base
San Antonio
TX
Раскрытие информации
CMH declares that he has no competing interests.
Stephen Richardson, MD, FAAD
Clinical Assistant Professor
Florida State University College of Medicine
Tallahassee
FL
Раскрытие информации
SR declares that he has no competing interests.
Ravi Ubriani, MD, FAAD
Assistant Professor of Clinical Dermatology
Columbia University
New York
NY
Disclosures
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
Disclosures
PMF declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988 Jun;124(6):869-71. Abstract
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.Full text Abstract
Han A, Maibach, HI. Management of acute sunburn. Am J Clin Dermatol. 2004;5:39-47. Abstract
US Preventive Services Task Force. Recommendation Statement. Behavioral Counseling to Prevent Skin Cancer. Mar 2018 [internet publication].Full text
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.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Erupção polimorfa à luz
- Dermatite fototóxica
- Dermatite fotoalérgica
More DifferentialsPatient information
Como tomar sol de forma segura
Câncer de pele (carcinoma de células escamosas)
More Patient information
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