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Definition:
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Polymorphic light eruption is a common reaction to sunlight (ultraviolet light) that occurs in light-sensitive individuals.
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Alternative Names:
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Polymorphous light eruption
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Causes, incidence, and risk factors:
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The cause is unknown. Some experts think it is a type of delayed allergic reaction.
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Symptoms:
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Small red pimples and blisters appear on the skin within 1 - 4 days after exposure to sunlight. The lesions may also appear as scaly skin.
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Treatment:
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Medium to strong steroid creams or ointments may be prescribed by your doctor. They are used 2 or 3 times a day helps clear the rash. Steroid pills may be used for more severe cases.
Some people benefit from phototherapy. Phototherapy is a medical treatment in which your skin is carefully exposed to ultraviolet light. This may help your skin become sensitized to the sun.
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Expectations (prognosis):
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In many patients, the chances of having this condition after being in sunlight decreases over time.
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Prevention:
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- Use sunscreen. Sun protection with broad spectrum sunblock that works against UVA rays is important.
- Avoid sun exposure during hours of peak sun ray intensity.
- Apply generous amounts of sunscreen with a sun protection factor (SPF) of at least 30. Pay special attention to your face, nose, ears, and shoulders. The higher the SPF, the greater the protection.
- Apply sunscreen 30 minutes prior to sun exposure to allow penetration. Re-apply after swimming and every 2 hours while you are outdoors.
- Wear sun hats. There is also SPF clothing and swimwear available.
- Wear sunglasses with UV protection.
- Use a lip balm with sunscreen.
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References:
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Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009.
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