Solar urticaria

Česká verzia

Authors: L. Malina
Authors place of work: Mediscan Group − Dermatologie, Praha
Published in the journal: Prakt. Lék. 2008; 88(9): 528-530
Category: Of different specialties

Summary

Solar urticaria is a rare disease, classed in the group of idiopathic (true) photodermatoses. It manifests itself either by the development of pruriginous erythema or by urticarial rash on uncovered skin, and it is induced by radiation of ultraviolet or visible-light spectra (280–800 nm). The disease occurs less frequently in comparison with the majority of other photodermatoses, but causes great subjective difficulties and even disability to the patients affected. Phototesting has been chiefly used for diagnosis, and particularly for its differential diagnosis (by the estimation of their action spectra); along with photoimmunological detection of a photoallergen in patient’s plasma or blood serum. Histological findings are non-specific and therefore inconclusive. As far treatment is concerned, systemic antihistamines, immunoglobulins, immunosuppressive and even antidepressive drugs were formerly effective in some disease’s cases. More recently, however, phototherapy and photochemotherapy (PUVA) seems to give better results, whether as single modality treatment or in the combination with plasmapheresis. Local photoprotection with sunscreening agents is effective only in cases when the disorder is caused by UV-B radiation.

Key words:
photodermatoses, urticaria, urticaria solaris, photodiagnostics, immunodiagnostics, phototherapy, photochemotherapy.

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