小结
定义
病史和体格检查
关键诊断因素
- 紫外辐射暴露后皮损复发史
- 年轻女性和青少年
- PLE 家族史
- 严重瘙痒
- 在一年中，症状逐渐减少
- 红斑性斑块
- 丘疹
- 斑块
- 水疱
危险因素
- 紫外线 A 段暴露
- 氧化应激/活性氧簇
- PLE 家族史
- 女性
诊断性检查
需考虑的检查
- 光试验和光诱发
- 皮肤活检
治疗流程
丘疹型（典型 PLE）和伴小斑块的斑块型
斑块型伴广泛分布的厚斑块 + 水疱大疱型变异体
撰稿人
作者
Mieran Sethi, MBBS, BSc, MRCP, PhD
Dermatology Registrar
St Mary's Hospital
London
UK
利益声明
MS has been reimbursed by Vichy and La Roche Posay for presenting video clips and attending conferences about skin disease.
Shirin Zaheri, MBBS, BSc, MRCP
Consultant Dermatologist
Charing Cross/Hammersmith Hospital
Imperial College Hospitals NHS Trust
London
UK
利益声明
SZ has received honoraria for speaking at, facilitating and/or attending meetings/advisory boards from L'Oreal, AbbVie, and Eli Lilly, and has had expenses sponsored for attending meetings by Leo, Novartis, L'Oreal and Naos.
鸣谢
Dr Mieran Sethi and Dr Shirin Zaheri would like to gratefully acknowledge Dr Catherine Hardman, Dr Sarah Hogan and Dr Ina Marion Hadshiew, previous contributors to this topic. CH, SH and IMH declare that they have no competing interests.
同行评议者
Erhard Holzle, MD
Professor and Chair
Department of Dermatology
Stadtische Kliniken
Oldenburg
Germany
利益声明
EH declares that he has no competing interests.
鉴别诊断
- 光过敏性反应
- 光毒性反应
- 慢性光化性皮炎
更多 鉴别诊断指南
- 英国皮肤科医师协会 (British Association of Dermatologists) 和英国光照性皮肤病学研究组 (British Photodermatology Group) 关于补骨脂素和紫外线 A 光线化学疗法的安全有效使用的指南（2015 年）
- 日光暴露：风险和益处
更多 指南患者教育信息
Eczema
更多 患者教育信息
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明