Chronic actinic dermatitis: A retrospective analysis of 44 cases referred to an Australian photobiology clinic
SUMMARY A retrospective study was performed to analyse the clinical and photobiological features and therapeutic outcomes of 44 patients with chronic actinic dermatitis who were evaluated over an 8.3‐year period. The study population comprised 37 men and seven women with a mean age of 62.7 years (ra...
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Veröffentlicht in: | Australasian journal of dermatology 2003-11, Vol.44 (4), p.256-262 |
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creator | Yap, Lee Mei Foley, Peter Crouch, Rohan Baker, Christopher |
description | SUMMARY
A retrospective study was performed to analyse the clinical and photobiological features and therapeutic outcomes of 44 patients with chronic actinic dermatitis who were evaluated over an 8.3‐year period. The study population comprised 37 men and seven women with a mean age of 62.7 years (range 26–85 years). The most common abnormal phototest results were decreased minimal erythema doses to both UVA and ‐B (73.8%), and to UVA alone (14.3%). Twenty‐six patients (78.8%) had at least one allergic, photoallergic or combined allergic/photoallergic reaction. A total of 139 positive contact or photocontact reactions were recorded (mean 4.2 per patient). Most commonly, treatment consisted of photoprotection, topical corticosteroids and episodic use of systemic agents, in particular azathioprine. |
doi_str_mv | 10.1046/j.1440-0960.2003.00004.x |
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A retrospective study was performed to analyse the clinical and photobiological features and therapeutic outcomes of 44 patients with chronic actinic dermatitis who were evaluated over an 8.3‐year period. The study population comprised 37 men and seven women with a mean age of 62.7 years (range 26–85 years). The most common abnormal phototest results were decreased minimal erythema doses to both UVA and ‐B (73.8%), and to UVA alone (14.3%). Twenty‐six patients (78.8%) had at least one allergic, photoallergic or combined allergic/photoallergic reaction. A total of 139 positive contact or photocontact reactions were recorded (mean 4.2 per patient). Most commonly, treatment consisted of photoprotection, topical corticosteroids and episodic use of systemic agents, in particular azathioprine.</description><identifier>ISSN: 0004-8380</identifier><identifier>EISSN: 1440-0960</identifier><identifier>DOI: 10.1046/j.1440-0960.2003.00004.x</identifier><identifier>PMID: 14616491</identifier><identifier>CODEN: AJDEBP</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>actinic reticuloid ; Adrenal Cortex Hormones - therapeutic use ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities ; azathioprine ; Biological and medical sciences ; Biopsy, Needle ; Cohort Studies ; Dermatology ; Female ; Humans ; Immunohistochemistry ; Immunosuppressive Agents - therapeutic use ; Incidence ; Injuries of the skin. Diseases of the skin due to physical agents ; Male ; Medical sciences ; Middle Aged ; Patch Tests ; persistent light reactivity ; photopatch testing ; photosensitivity dermatitis ; photosensitivity disorders ; Photosensitivity Disorders - diagnosis ; Photosensitivity Disorders - epidemiology ; Photosensitivity Disorders - therapy ; phototesting ; Phototherapy - methods ; Prognosis ; Referral and Consultation ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Sex Distribution ; Skin involvement in other diseases. Miscellaneous. General aspects ; sunlight ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Victoria - epidemiology</subject><ispartof>Australasian journal of dermatology, 2003-11, Vol.44 (4), p.256-262</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3474-e501b0dc83dd1ee371288603fd1689fc25a9650d462000d1d105555be95befe23</citedby><cites>FETCH-LOGICAL-c3474-e501b0dc83dd1ee371288603fd1689fc25a9650d462000d1d105555be95befe23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1440-0960.2003.00004.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1440-0960.2003.00004.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15310117$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14616491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yap, Lee Mei</creatorcontrib><creatorcontrib>Foley, Peter</creatorcontrib><creatorcontrib>Crouch, Rohan</creatorcontrib><creatorcontrib>Baker, Christopher</creatorcontrib><title>Chronic actinic dermatitis: A retrospective analysis of 44 cases referred to an Australian photobiology clinic</title><title>Australasian journal of dermatology</title><addtitle>Australas J Dermatol</addtitle><description>SUMMARY
A retrospective study was performed to analyse the clinical and photobiological features and therapeutic outcomes of 44 patients with chronic actinic dermatitis who were evaluated over an 8.3‐year period. The study population comprised 37 men and seven women with a mean age of 62.7 years (range 26–85 years). The most common abnormal phototest results were decreased minimal erythema doses to both UVA and ‐B (73.8%), and to UVA alone (14.3%). Twenty‐six patients (78.8%) had at least one allergic, photoallergic or combined allergic/photoallergic reaction. A total of 139 positive contact or photocontact reactions were recorded (mean 4.2 per patient). Most commonly, treatment consisted of photoprotection, topical corticosteroids and episodic use of systemic agents, in particular azathioprine.</description><subject>actinic reticuloid</subject><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ambulatory Care Facilities</subject><subject>azathioprine</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Cohort Studies</subject><subject>Dermatology</subject><subject>Female</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Incidence</subject><subject>Injuries of the skin. Diseases of the skin due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patch Tests</subject><subject>persistent light reactivity</subject><subject>photopatch testing</subject><subject>photosensitivity dermatitis</subject><subject>photosensitivity disorders</subject><subject>Photosensitivity Disorders - diagnosis</subject><subject>Photosensitivity Disorders - epidemiology</subject><subject>Photosensitivity Disorders - therapy</subject><subject>phototesting</subject><subject>Phototherapy - methods</subject><subject>Prognosis</subject><subject>Referral and Consultation</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>Skin involvement in other diseases. Miscellaneous. General aspects</subject><subject>sunlight</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><subject>Victoria - epidemiology</subject><issn>0004-8380</issn><issn>1440-0960</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMGO0zAQhi0EYsvCKyBf4JYwUztOgrhUhe2CKhACxN4s156wLmld7BTat8eh1e6VkawZeb5_7PkZ4wglglSv1iVKCQW0CsopgCghhywPD9jkrvGQTcbLohENXLAnKa0BUGBVPWYXKBUq2eKEbee3MWy95cYOfsyO4sYMfvDpNZ_xSEMMaUe5-Zu42Zr-mHzioeNScmsSpYx0FCM5PoQM8Nk-DdH0Ppe72zCElQ99-HHkth_HP2WPOtMnenbOl-zb1buv8-ti-Wnxfj5bFlbIWhZUAa7A2UY4h0SixmnTKBCdQ9W0nZ1WplUVOKny9uDQIVQ5VtTm09FUXLKXp7m7GH7tKQ1645OlvjdbCvukaxQqT8IMNifQ5j1T3kXvot-YeNQIevRar_VoqR4t1aPX-p_X-pClz89v7FcbcvfCs7kZeHEGTLKm76LZWp_uuUogINaZe3Pi_viejv_9AT378DYXWV6c5D4NdLiTm_hTq1rUlf7-caGXn9XV4ubmWn8RfwHyialL</recordid><startdate>200311</startdate><enddate>200311</enddate><creator>Yap, Lee Mei</creator><creator>Foley, Peter</creator><creator>Crouch, Rohan</creator><creator>Baker, Christopher</creator><general>Blackwell Science Pty</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200311</creationdate><title>Chronic actinic dermatitis: A retrospective analysis of 44 cases referred to an Australian photobiology clinic</title><author>Yap, Lee Mei ; Foley, Peter ; Crouch, Rohan ; Baker, Christopher</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3474-e501b0dc83dd1ee371288603fd1689fc25a9650d462000d1d105555be95befe23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>actinic reticuloid</topic><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ambulatory Care Facilities</topic><topic>azathioprine</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle</topic><topic>Cohort Studies</topic><topic>Dermatology</topic><topic>Female</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Incidence</topic><topic>Injuries of the skin. Diseases of the skin due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patch Tests</topic><topic>persistent light reactivity</topic><topic>photopatch testing</topic><topic>photosensitivity dermatitis</topic><topic>photosensitivity disorders</topic><topic>Photosensitivity Disorders - diagnosis</topic><topic>Photosensitivity Disorders - epidemiology</topic><topic>Photosensitivity Disorders - therapy</topic><topic>phototesting</topic><topic>Phototherapy - methods</topic><topic>Prognosis</topic><topic>Referral and Consultation</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Sex Distribution</topic><topic>Skin involvement in other diseases. Miscellaneous. General aspects</topic><topic>sunlight</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><topic>Victoria - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yap, Lee Mei</creatorcontrib><creatorcontrib>Foley, Peter</creatorcontrib><creatorcontrib>Crouch, Rohan</creatorcontrib><creatorcontrib>Baker, Christopher</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australasian journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yap, Lee Mei</au><au>Foley, Peter</au><au>Crouch, Rohan</au><au>Baker, Christopher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic actinic dermatitis: A retrospective analysis of 44 cases referred to an Australian photobiology clinic</atitle><jtitle>Australasian journal of dermatology</jtitle><addtitle>Australas J Dermatol</addtitle><date>2003-11</date><risdate>2003</risdate><volume>44</volume><issue>4</issue><spage>256</spage><epage>262</epage><pages>256-262</pages><issn>0004-8380</issn><eissn>1440-0960</eissn><coden>AJDEBP</coden><abstract>SUMMARY
A retrospective study was performed to analyse the clinical and photobiological features and therapeutic outcomes of 44 patients with chronic actinic dermatitis who were evaluated over an 8.3‐year period. The study population comprised 37 men and seven women with a mean age of 62.7 years (range 26–85 years). The most common abnormal phototest results were decreased minimal erythema doses to both UVA and ‐B (73.8%), and to UVA alone (14.3%). Twenty‐six patients (78.8%) had at least one allergic, photoallergic or combined allergic/photoallergic reaction. A total of 139 positive contact or photocontact reactions were recorded (mean 4.2 per patient). Most commonly, treatment consisted of photoprotection, topical corticosteroids and episodic use of systemic agents, in particular azathioprine.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>14616491</pmid><doi>10.1046/j.1440-0960.2003.00004.x</doi><tpages>7</tpages></addata></record> |
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subjects | actinic reticuloid Adrenal Cortex Hormones - therapeutic use Adult Age Distribution Aged Aged, 80 and over Ambulatory Care Facilities azathioprine Biological and medical sciences Biopsy, Needle Cohort Studies Dermatology Female Humans Immunohistochemistry Immunosuppressive Agents - therapeutic use Incidence Injuries of the skin. Diseases of the skin due to physical agents Male Medical sciences Middle Aged Patch Tests persistent light reactivity photopatch testing photosensitivity dermatitis photosensitivity disorders Photosensitivity Disorders - diagnosis Photosensitivity Disorders - epidemiology Photosensitivity Disorders - therapy phototesting Phototherapy - methods Prognosis Referral and Consultation Retrospective Studies Risk Assessment Severity of Illness Index Sex Distribution Skin involvement in other diseases. Miscellaneous. General aspects sunlight Traumas. Diseases due to physical agents Treatment Outcome Victoria - epidemiology |
title | Chronic actinic dermatitis: A retrospective analysis of 44 cases referred to an Australian photobiology clinic |
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