Chronic actinic dermatitis

Kerr, Alastair; Ibbotson, Sally H.

doi:10.1586/17469872.1.3.451

Cited by 6 publications

(6 citation statements)

References 102 publications

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“…It was agreed that phototesting should ideally be undertaken on clear skin and that topical corticosteroids and systemic immunosuppressants should be avoided where feasible. Topical corticosteroids can suppress UV‐induced erythema and prednisolone, even at 10mg orally, may suppress CAD photosensitivity and is best avoided for at least a week prior to testing 12–15 . The effects of other immunosuppressants on phototesting are unknown, although it seems prudent to avoid immunosuppression where possible.…”

Section: Resultsmentioning

confidence: 99%

Photodiagnostic services in the UK and Republic of Ireland: a British Photodermatology Group Workshop Report

Ibbotson

Allan

Dawe

et al. 2021

Acad Dermatol Venereol

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Background Photodiagnostic investigations are essential for the accurate diagnosis of abnormal cutaneous photosensitivity and provide important information for the management of patients with photodermatoses (cutaneous photosensitivity disorders). Although photodiagnosis has been undertaken since the early 1970s, specialist services in the United Kingdom (UK) and Republic of Ireland are limited and there is no formal guidance on diagnostic approach. Indeed, there is a limited literature in this area of methodology and diagnostic practice. Objectives The primary objective was to undertake a British Photodermatology Group Workshop to review the role and activities of specialist centres in the UK and Republic of Ireland in order to ascertain whether there were consensus practices. Secondary objectives were to identify key priorities for service, training and research. Methods An initial detailed survey review of current activities was undertaken prior to the Workshop and data from this survey were used to inform discussion at the Workshop, which was attended by key photodermatology experts from the UK and Republic of Ireland. Results/Conclusions We have undertaken a detailed review of current Photodiagnostic Services in the UK and Republic of Ireland and report on our findings from the 12 centres and we have identified key areas of consensus practice. This is an important step in the process of standardising and optimising procedures and protocols and defining minimum clinical standards for photodiagnostic investigations, which are of such diagnostic importance in Dermatology.

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Section: Resultsmentioning

confidence: 99%

Photodiagnostic services in the UK and Republic of Ireland: a British Photodermatology Group Workshop Report

Ibbotson

Allan

Dawe

et al. 2021

Acad Dermatol Venereol

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“…It is usually seen in the back of the hands, nose, forehead, scalp and top of the ears. 1 Differential diagnostic features of CAD include photo testing, patch testing/photo patch test and biopsy. All CAD patients should be informed to avoid UV exposure and contact with associated allergens and photo allergens.…”

Section: Discussionmentioning

confidence: 99%

“…Chronic Actinic Dermatitis is defined as the persistent eczematous eruption which mainly affects photo exposed sites with the evidence of broad-band photosensitivity. 1 It is a rare and severe idiopathic photodermatosis classified under the term immunologically mediated photodermatosis. It typically affects men in the fifth decade of life or older and is characterized by pruritic eczematous and lichenified plaques sharply defined to sun exposed areas.…”

Section: Introductionmentioning

confidence: 99%

Case Report on Chronic Actinic Dermatitis

Veedu¹,

Thomas²,

Shaijan³

et al. 2021

IJOPP

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Chronic Actinic Dermatitis (CAD) or Chronic Photosensitivity Dermatitis is an immunologically mediated photodermatosis which is characterized by pruritic eczematous lesions, severely itchy, red, inflamed and thickened dry skin of sun exposed areas. The other term of chronic actinic dermatitis is Actinic reticuloid. It is usually seen in patients older than 50 years of age. The etiology of chronic actinic dermatitis is not identified until now. The diagnosis of chronic actinic dermatitis is based on patient history, cutaneous findings and histological features (biopsy). Photo protection measures are a central management of chronic actinic dermatitis. Other therapeutic remedies include immunosuppressive agents and antihistamines. Here we reported a case of chronic actinic dermatitis presenting with long history of itching and reddish lesions, multiple hyper pigmented and erythematous papules and plaques present over the body. On the scalp there is multiple well defined de-pigmented and erythematous plaques were present. The patient condition improved with the use of steroids, antihistamines and sunscreens.

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“…TO THE EDITOR Chronic actinic dermatitis (CAD) is an uncommon photosensitivity disease, characterized by a photoexposed site dermatitis that may be severe and disabling (Kerr and Ibbotson, 2006) (Supplementary Figure S1 online). Objective evidence of broadband photosensitivity to UVB and often also UVA and visible wavebands is evident and most patients also have multiple contact allergies (Frain-Bell et al, 1974).…”

mentioning

confidence: 99%

“…The condition occurs worldwide, although it is more common in temperate climates and typically develops in middle-aged to elderly males. Most individuals have a history of a preceding dermatitis, either atopic, contact allergic, or seborrhoeic, although it can occur de novo (Frain-Bell et al, 1974;Hawk, 2004;Kerr and Ibbotson, 2006). Resolution of photosensitivity is reported in up to 50% of individuals after 15 years or more, with contact allergies persisting (Dawe et al, 2000).…”

mentioning

confidence: 99%