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Conditions and Diseases > Acne and Skin Disorders Forum > Photodermatosis: Skin sensitive to sunlight
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Q: Photodermatosis: Skin sensitive to sunlight
asked by: DoctorQuestion on December 6th, 2006
Hello , whenever i go out in sun or for whatever reason my body temperature increases ,say by exercise , i get red spots all over my body also I get strong irritation and I just cant stand the problem. I have to go in shade or just sit idle and wait for body to cool and I quickly get normal.
I am suffering with this problem for last 1 month (since I shifted to Cyprus from India) or so and I have also consulted a dermatologist ,he said that the problem is because of my dry skin and the winters, and he prescribed levo-cetrizine(once a day) and few oils and moisturisers. But its been over 1 month and the problem remains as it is. He also asked me to get a blood test (for some allergy) but it was normal too.

Why is this happening? What should I do?


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Dr. Nikola Gjuzelov , MD
replied on December 8th, 2006
Acne, Skin Disorders Answer A1897
According to the symptoms you describe (red spots and irritation when exposed to sun) you are probably experiencing some kind of photodermatosis. There are several types of photodermatoses:


1. Photo-TRAUMATIC dermatoses. This condition is due to the direct physical action of sunlight on the skin. It depends upon the combintation of 3 factors: genetically determined skin type, sunlight strength and duration of exposure. Acute affection can cause inflammation (dermatitis solaris); chronic affection can cause degeneration of the skin;


2. Photo-TOXIC dermatoses. This condition is attributed to the common action of sunlight in combination with a photo-sensibilizating substance applied locally to the skin. Sensibilization in this case is not an allergic reaction (there are no immunological mechanisms present). For example, berloque dermatitis (when the substance is cosmetics) and phytophotodermatitis (when the substance is a plant derivitative) belong to this group.


3. Photo-ALLERGIC dermatoses. In this case, immunological mechanisms (allergic reaction) are included in the pathogenesis in combination with the presence of sunlight and a photosenzibilizator. Photoalergic dermatitis in its acute form is a part of this group of dermatoses. The photosensibilizating substance (allergen) first stimulates an immunologicaly sensitive reaction in the body (allergy). Then, the next contact with the particular substance sunlight, can cause skin lesions to occur. Contact with the allergen can happen through the skin, through food, or by injection;


4. DYSMETABOLIC photodermatoses. This type of dermatosis can be caused by an enzyme deficit due to a genetic defect (like porphyries), or lack of a particular vitamin (pellagra for instance);


5. Photodermatoses can exist with unknown etiologies. The most common type of unknown dermatosis is called "polymorphic light eruption." This condition stimulates immunological mechanisms but an allergen is not indentified. Urticaria solaris and hidroa aestvalia are other representatives from this group.


You can request photo-epicutaneus tests to identify possible photosensibilizating substances (allergen). Treatment always includes avoiding both the allergen (if found) and sunlight. You can consult a dermatologist about further diagnostic and therapeutic procedures.





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