小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 光暴露
- 缺乏防晒保护
- 皮肤不适感
- 瘙痒
- 皮肤触痛
- 温热感
- 红斑
其他诊断因素
- 慢性光化性损伤
- 不适感、发热、畏寒、恶心和头痛
- 水肿
- 水疱/大疱
危险因素
- Fitzpatrick 皮肤分型 I-III
- 光敏药物
- 故意晒黑
- 不使用防晒霜或使用不当
- 不明智的日光暴晒
- 未满 6 月龄
- 免疫抑制
- 皮肤癌病史
诊断性检查
需考虑的检查
- 皮肤活检
- 光试验
治疗流程
所有患者
撰稿人
作者
Elena B. Hawryluk, MD, PhD
Assistant Professor
Department of Dermatology
Harvard Medical School
Boston
MA
利益声明
EBH is an author and reviewer for UpToDate and a consultant for Purity Brands LLC. EBH declares that her spouse receives salary and stock from Gritstone Oncology LLC.
鸣谢
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.
同行评议者
Chad M. Hivnor, Major, USAF, MC, FS
Chief
Outpatient & Pediatric Dermatology
59th Medical Wing/ SGOMD
Lackland Air Force Base
San Antonio
TX
利益声明
CMH declares that he has no competing interests.
Stephen Richardson, MD, FAAD
Clinical Assistant Professor
Florida State University College of Medicine
Tallahassee
FL
利益声明
SR declares that he has no competing interests.
Ravi Ubriani, MD, FAAD
Assistant Professor of Clinical Dermatology
Columbia University
New York
NY
利益声明
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
利益声明
PMF declares that he has no competing interests.
鉴别诊断
- 多形日光疹 (PMLE)
- 光毒性皮炎
- 光敏性皮炎
更多 鉴别诊断患者教育信息
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