Papulovesicular light eruption. A defined subset of polymorphous light eruption

Polychromatic phototest as a prognostic tool for polymorphic light eruption

“…At one end of the spectrum is the severe skin eruption triggered by a brief exposure to sunlight, with the eruption persisting through summer. At the other end is the benign PLE, also called photodermatitis multiformis acuta (28), papulovesicular light eruption (29) or benign summer light eruption (30)(31)(32). This subset of PLE is related to an intense and unusual exposure dose of sunlight (28,29).…”

“…At the other end is the benign PLE, also called photodermatitis multiformis acuta (28), papulovesicular light eruption (29) or benign summer light eruption (30)(31)(32). This subset of PLE is related to an intense and unusual exposure dose of sunlight (28,29). The patients present with pruriginous papular eruption that does not involve the face (7,27,32) and regresses spontaneously with a ''hardening'' or ''desensitization'' course by exposure to sunlight (28,29,32).…”

“…This subset of PLE is related to an intense and unusual exposure dose of sunlight (28,29). The patients present with pruriginous papular eruption that does not involve the face (7,27,32) and regresses spontaneously with a ''hardening'' or ''desensitization'' course by exposure to sunlight (28,29,32). In this benign clinical form, polychromatic phototests are usually negative (32).…”

A Case of Hydroa Vacciniforme

“…The distinctive histologic changes of HV include initial intraepidermal vesicle formation with later focal epidermal keratinocyte necrosis and spongiosis in association with dermal perivascular neutrophil and lymphocyte infiltration. In vesicular PMLE, the dermal edema leads to subepidermal vesicle formation, mild to moderate epidermal spongiosis may occur, and epidermal necrosis is lacking 7 .…”

Polymorphous Light Eruption

“…It affects mainly young women and is considered to be very similar to papulovesicular light eruption reported by Elpern et al [3]and photodermatitis multiformis acuta described by Ippen [4]and Jeanmougin and Civatte [2]. Papulovesicular light eruption appears commonly among North American women and demonstrates a characteristic feature of hardening or desensitization by exposure to sunlight [3]. In Japan, another subset of PLE was proposed by Horio as micropapular light eruption [5].…”