eMedicine Specialties > Dermatology > Photo-Related Diseases

Actinic Prurigo: Multimedia

Author: Juan Pablo Castanedo-Cazares, MD, Photobiology Unit Director, Assistant Professor, Department of Dermatology, Hospital Central. Universidad Autonoma de San Luis Potosi, Mexico
Coauthor(s): Benjamin Moncada, MD, Chairman, Professor, Department of Dermatology, Hospital Central. Universidad Autonoma de San Luis Potosi; Bertha Torres-Alvarez, MD, Assistant Professor of Dermatology, Hospital Central, Universidad Autonoma de San Luis Potosi
Contributor Information and Disclosures

Updated: Jan 15, 2009

Multimedia

Itchy plaques mainly on photoexposed areas of the...
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Media file 1: Itchy plaques mainly on photoexposed areas of the face; these plaques are characteristic of actinic prurigo.
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Itchy plaques mainly on photoexposed areas of the...

Itchy plaques mainly on photoexposed areas of the face; these plaques are characteristic of actinic prurigo.

Photodistribution of lesions over the body.
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Media file 2: Photodistribution of lesions over the body.
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Photodistribution of lesions over the body.

Photodistribution of lesions over the body.

Multiple itchy papules coalescing into plaques on...
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Media file 3: Multiple itchy papules coalescing into plaques on the neck. These lesions are similar to lesions of polymorphous light eruption. Note the excoriations induced by scratching.
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Multiple itchy papules coalescing into plaques on...

Multiple itchy papules coalescing into plaques on the neck. These lesions are similar to lesions of polymorphous light eruption. Note the excoriations induced by scratching.

One third of patients are children. The nose is f...
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Media file 4: One third of patients are children. The nose is frequently affected. This clinical feature is useful in distinguishing it from other entities, such as atopic dermatitis.
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One third of patients are children. The nose is f...

One third of patients are children. The nose is frequently affected. This clinical feature is useful in distinguishing it from other entities, such as atopic dermatitis.

One half of patients have bilateral conjunctiviti...
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Media file 5: One half of patients have bilateral conjunctivitis. Eye protection is needed to avoid disease progression.
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One half of patients have bilateral conjunctiviti...

One half of patients have bilateral conjunctivitis. Eye protection is needed to avoid disease progression.

About 75% of patients have cheilitis, which can t...
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Media file 6: About 75% of patients have cheilitis, which can take the form of solid lesions or erosions.
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About 75% of patients have cheilitis, which can t...

About 75% of patients have cheilitis, which can take the form of solid lesions or erosions.

A phototest with UV-B light shows reproduction of...
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Media file 7: A phototest with UV-B light shows reproduction of lesions on the inner aspect of the arm. The result from the phototest with UV-A light was negative.
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A phototest with UV-B light shows reproduction of...

A phototest with UV-B light shows reproduction of lesions on the inner aspect of the arm. The result from the phototest with UV-A light was negative.

Histologic examination shows acanthosis, mild spo...
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Media file 8: Histologic examination shows acanthosis, mild spongiosis, edema of the lamina propria, and a moderate-to-dense perivascular lymphocytic inflammatory infiltrate.
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Histologic examination shows acanthosis, mild spo...

Histologic examination shows acanthosis, mild spongiosis, edema of the lamina propria, and a moderate-to-dense perivascular lymphocytic inflammatory infiltrate.

A close-up view shows edema of the lamina propria...
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Media file 9: A close-up view shows edema of the lamina propria as well as a lymphocytic inflammatory infiltrate in the dermis.
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A close-up view shows edema of the lamina propria...

A close-up view shows edema of the lamina propria as well as a lymphocytic inflammatory infiltrate in the dermis.

Young girl with a history of atopic dermatitis an...
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Media file 10: Young girl with a history of atopic dermatitis and itchy, lichenified plaques on her face for the last 3 months. Atopic dermatitis with photosensitivity is the main differential diagnosis with actinic prurigo in children.
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Young girl with a history of atopic dermatitis an...

Young girl with a history of atopic dermatitis and itchy, lichenified plaques on her face for the last 3 months. Atopic dermatitis with photosensitivity is the main differential diagnosis with actinic prurigo in children.

Actinic cheilitis resulting from actinic prurigo.
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Media file 11: Actinic cheilitis resulting from actinic prurigo.
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Actinic cheilitis resulting from actinic prurigo.

Actinic cheilitis resulting from actinic prurigo.

More on Actinic Prurigo

Overview: Actinic Prurigo
Differential Diagnoses & Workup: Actinic Prurigo
Treatment & Medication: Actinic Prurigo
Follow-up: Actinic Prurigo
Multimedia: Actinic Prurigo
References
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References

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Further Reading

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Keywords

actinic prurigo, AP, polymorphous light eruption of prurigo type, PLE, solar prurigo, solar dermatitis of the high plains

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Contributor Information and Disclosures

Author

Juan Pablo Castanedo-Cazares, MD, Photobiology Unit Director, Assistant Professor, Department of Dermatology, Hospital Central. Universidad Autonoma de San Luis Potosi, Mexico
Juan Pablo Castanedo-Cazares, MD is a member of the following medical societies: Photomedicine Society
Disclosure: Nothing to disclose.

Coauthor(s)

Benjamin Moncada, MD, Chairman, Professor, Department of Dermatology, Hospital Central. Universidad Autonoma de San Luis Potosi
Disclosure: Nothing to disclose.

Bertha Torres-Alvarez, MD, Assistant Professor of Dermatology, Hospital Central, Universidad Autonoma de San Luis Potosi
Disclosure: Nothing to disclose.

Medical Editor

Craig A Elmets, MD, Director of Dermatology, Departments of Dermatology, Pathology, and Environmental Health Sciences; Professor, The Kirklin Clinic, University of Alabama at Birmingham
Craig A Elmets, MD is a member of the following medical societies: American Academy of Dermatology, American Association of Immunologists, American College of Physicians, American Federation for Medical Research, and Society for Investigative Dermatology
Disclosure: Palomar Medical Technologies Stock None; Merck Consulting fee Independent contractor; Tronox Consulting fee Independent contractor; Amgen Consulting fee Review panel membership; Astellas Consulting fee Review panel membership; Massachusetts Medical Society Salary Employment

Pharmacy Editor

David F Butler, MD, Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic
David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa
Disclosure: 3M Pharmaceutical Grant/research funds Other; Graceway Pharmaceuticals Grant/research funds Other

Managing Editor

Lester F Libow, MD, Dermatopathologist, South Texas Dermatopathology Laboratory
Lester F Libow, MD is a member of the following medical societies: American Academy of Dermatology, American Society of Dermatopathology, and Texas Medical Association
Disclosure: Nothing to disclose.

CME Editor

Catherine Quirk, MD, Clinical Assistant Professor, Department of Dermatology, Brown University
Catherine Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology
Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD, Director, Department of Dermatology, Geisinger Medical Center
Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

 
 
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