Chronic actinic dermatitis: An immunohistologic and photobiologic study

Photobiologic, histologic, and immunohistochemical findings in 14 patients with chronic actinic dermatitis were compared. Grading of routine histologic features of involved skin demonstrated a spectrum of abnormalities ranging from changes resembling chronic dermatitis to those of cutaneous T cell l...

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Veröffentlicht in:Journal of the American Academy of Dermatology 1989-11, Vol.21 (5), p.966-971
Hauptverfasser: Norris, Paul G., Morris, Jenny, Smith, Neil P., Chu, Anthony C., Hawk, John L.M.
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container_end_page 971
container_issue 5
container_start_page 966
container_title Journal of the American Academy of Dermatology
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creator Norris, Paul G.
Morris, Jenny
Smith, Neil P.
Chu, Anthony C.
Hawk, John L.M.
description Photobiologic, histologic, and immunohistochemical findings in 14 patients with chronic actinic dermatitis were compared. Grading of routine histologic features of involved skin demonstrated a spectrum of abnormalities ranging from changes resembling chronic dermatitis to those of cutaneous T cell lymphoma. Immunohistochemical staining showed dermal infiltrates to consist predominantly of T lymphocytes, with a significant trend toward lower CD4 +/CD8 + ratios in cases with more florid histologic findings. Circulating CD4 +/CD8 + cell ratios were normal in five patients and reduced in one patient. Photosensitivity extending to wavelengths longer than 340 nm was detected in eight patients, but the spectrum of photobiologic abnormality did not appear to correlate with either grading of histologic severity or variation in T cell subsets in lesional skin.
doi_str_mv 10.1016/S0190-9622(89)70284-X
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subjects Aged
Biological and medical sciences
Cell Count
Chronic Disease
Eczema - immunology
Eczema - pathology
Humans
Injuries of the skin. Diseases of the skin due to physical agents
Male
Medical sciences
Middle Aged
Patch Tests
Photosensitivity Disorders - immunology
Photosensitivity Disorders - pathology
T-Lymphocytes - immunology
T-Lymphocytes - pathology
Traumas. Diseases due to physical agents
Ultraviolet Rays
title Chronic actinic dermatitis: An immunohistologic and photobiologic study
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