Incapacitating solar urticaria: successful treatment with omalizumab

Kieselova, Katarina; Santiago, Felicidade; Henrique, Martinha

doi:10.1590/abd1806-4841.20198109

Cited by 4 publications

(3 citation statements)

References 10 publications

(10 reference statements)

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“…Solar urticaria/solar angioedema is induced by UVB/UVA/VL; the use of tinted sunscreens is required for those with VL as the action spectrum 61 . Other treatments include antihistamines, UVA/UVA1 rush hardening, cyclosporine and omalizumab 62‐64 …”

Section: Photodermatosesmentioning

confidence: 99%

“…61 Other treatments include antihistamines, UVA/UVA1 rush hardening, cyclosporine and omalizumab. [62][63][64] Drug-induced phototoxicity and photoallergy Drug-induced phototoxicity from the interaction of topical or systemic agents with UVA 65 manifests as an exaggerated sunburn reaction with rapid onset. This is not to be mistaken with photoallergy, which generally has delayed onset at 24-48 h after sun exposure, and requires only a minimal concentration of the photoallergen to induce the lesions in photosensitized individuals.…”

Section: Solar Urticariamentioning

confidence: 99%

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Photoprotection according to skin phototype and dermatoses: practical recommendations from an expert panel

Passeron

Lim

et al. 2021

Acad Dermatol Venereol

112

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Increasing evidence on the impact of the different wavelengths of sunlight on the skin demonstrates the need for tailored recommendations of sunscreen according to skin phototype and dermatoses, which is now possible due to advances in the filters and formulations of sunscreens. A selective literature search was performed by an international expert panel, focusing on the type of sunscreen to recommend for photoaging, skin cancers, photodermatoses, pigmentary disorders and skin inflammatory disorders. Protection against ultraviolet (UV)B is especially important for light skin as there is a high risk of sunburn, DNA damage and skin cancers. Darker skin may be naturally better protected against UVB but is more prone to hyperpigmentation induced by visible light (VL) and UVA. Protection against UVA, VL and infrared A can be helpful for all skin phototypes as they penetrate deeply and cause photoaging. Long‐wave UVA1 plays a critical role in pigmentation, photoaging, skin cancer, DNA damage and photodermatoses. Adapting the formulation and texture of the sunscreen to the type of skin and dermatoses is also essential. Practical recommendations on the type of sunscreen to prescribe are provided to support the clinician in daily practice.

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Section: Photodermatosesmentioning

confidence: 99%

Section: Solar Urticariamentioning

confidence: 99%

Photoprotection according to skin phototype and dermatoses: practical recommendations from an expert panel

Passeron

Lim

et al. 2021

Acad Dermatol Venereol

112

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“…It typically presents with short-lasting, pruritic, erythematous patches and wheals that form approximately five to ten minutes after exposure to sunlight. Solar urticaria can also be associated with systemic manifestations, such as dizziness, headaches, nausea, syncope, wheezing, and rarely anaphylactic shock [1][2][3]10].…”

Section: Discussionmentioning

confidence: 99%

A Woman With Solar Urticaria and Heat Urticaria: A Unique Presentation of an Individual With Multiple Physical Urticarias

Diehl¹,

Erickson²,

Calame³

et al. 2021

Cureus

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Urticaria is a common group of dermatologic disorders characterized by hives. Solar urticaria and heat urticaria are two rare types of chronic inducible urticarias. Solar urticaria is triggered by exposure to sunlight or ultraviolet radiation. Heat urticaria is triggered by exposure or contact with a heat stimulus. A 63-year-old woman is described who has both solar urticaria and heat urticaria and the features of these chronic inducible urticarias are reviewed. The woman presented with urticarial lesions that appeared both after exposure to the sun and after cooking at a stove. Additional history revealed she was previously diagnosed with diabetes, hypertension, and thyroid disease. After sun exposure, a punch biopsy of both the affected skin, as well as the normal-appearing skin, was done. Correlation of the clinical history, cutaneous examination, and biopsy examination confirmed the diagnosis of solar urticaria. Treatment of the patient's urticarias included histamine 1 (H1) and histamine 2 (H2) antihistamines. Her symptoms resolved and did not recur provided that she took the medication as prescribed. Management of chronic urticaria includes not only treatment of the current episode but also prevention of future recurring urticarial lesions. In addition to antihistamines, treatment may include omalizumab (Xolair®) injections for persistent urticaria.

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Cutaneous Photosensitivity Diseases

Ibbotson

2024

Rook's Textbook of Dermatology

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The photodermatoses are a diverse group of conditions in which abnormal responses to light exposure are the hallmark. Photodiagnostic investigations through a specialist unit may be essential to ensure accurate diagnosis and management, and this chapter explores the nature of the photodermatoses and the photodiagnostic techniques that can be applied. Management approaches include early diagnosis, prevention and disease suppression, and awareness of the significant adverse impact on well‐being and psychological health that can occur with photosensitivity. Photoprotection is a mainstay approach for the photodermatoses but is often not sufficient alone for disease control. Desensitisation through natural hardening or light‐based therapies may be feasible, although systemic immunosuppressants and immunomodulators may be required. Awareness of the possibility of vitamin D deficiency is also necessary. This chapter will cover these approaches in detail.

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Incapacitating solar urticaria: successful treatment with omalizumab

Cited by 4 publications

References 10 publications

Photoprotection according to skin phototype and dermatoses: practical recommendations from an expert panel

Photoprotection according to skin phototype and dermatoses: practical recommendations from an expert panel

A Woman With Solar Urticaria and Heat Urticaria: A Unique Presentation of an Individual With Multiple Physical Urticarias

Cutaneous Photosensitivity Diseases

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