Fotodermatosis mediadas inmunológicamente
DOI:
https://doi.org/10.29176/2590843X.300Palabras clave:
fotosensibilidad, rayos ultravioleta, prurigo actínico, urticaria solar,, hidroa vacciniformeResumen
Las fotodermatosis son enfermedades de la piel inducidas o exacerbadas por la radiación electromagnética (radiación ultravioleta, luz visible) y se pueden dividir en cinco grupos: fotodermatosis mediadas inmunológicamente, fotodermatosis secundarias a agentes exógenos, fotodermatosis secundarias a agentes endógenos y enfermedades causadas por defecto en la reparación del ADN (genodermatosis). En este artículo, se revisa el primer grupo de fotodermatosis, las cuales incluyen la erupción solar polimorfa, el prurigo actínico, la dermatitis actínica crónica, la urticaria solar y la hidroa vacciniforme.
Biografía del autor/a
Claudia Juliana Mariaca
Médica dermatóloga, Universidad Pontificia Bolivariana, Medellín, Colombia
Rodrigo Nuñez
Médico dermatólogo; profesor de Dermatología, Universidad Pontificia Bolivariana, Medellín, Colombia
Referencias bibliográficas
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2. Choi D, Kannan S, Lim H. Evaluation of patients with photodermatoses. Dermatol Clin. 2014,32:267-75.
3. Bylaite M, Grigaitiene J, Lapinskaite GS. Photodermatoses: Classification, evaluation and management. Br J Dermatol. 2009;161:61-8.
4. Yashar SS, Lim HW. Classification and evaluation of photodermatoses. Dermatol Ther. 2003;16:1-7.
5. De Argila D, Aguilera J, Sánchez J, García-Díez A. Study of idiopathic, exogenous photodermatoses. Part II: Photobiologic testing. Actas Dermosifiliogr. 2014;105:233-42.
6. De Argila D, Aguilera J, Sánchez J, García-Díez A. Study of idiopathic, exogenous photodermatoses. Part I: Pathophysiology and technical aspects of photobiologic studies. Actas Dermosifilogr. 2014;105:112-21.
7. Lehmann P, Schwarz T. Photodermatoses: Diagnosis and treatment. Dtsch Arztebl Int. 2011;108:135-41.
8. Gambichler T, Al-Muhhammadi R, Bomms S. Immunologically mediated photodermatoses. Am J Clin Dermatol. 2009;10:169-80.
9. Trakatelli M, Charalampidis S, Novakovic LB. Photodermatoses with onset in the elderly. Br J Dermatol. 2009;161:69-77.
10. Roelandts R. Diagnosis and treatment of solar urticaria. Dermatol Ther. 2003;16:52-6.
11. Morales N, Zapata F, Zuluaga MA, Mendoza N, Uribe MP, Jiménez SB. Fotodermatosis y terapia de desensibilización. Revista CES Medicina. 2012;26:29-41,
12. Grossber AL. Update on pediatric photosensitivity disorders. Curr Opin Pediatr. 2013;25:474-9.
13. Stratigos AJ, Antoniou C, Katsambas AD. Polymorphous light eruption. J Eur Acad Dermatol Venereol. 2002;16:193-206.
14. Gruber-Wackermagel A, Byrne SN, Wolf P. Polymorphous light eruption: Clinic aspects and pathogenesis. Dermatol Clin. 2014;32:315-34.
15. Wolf P, Byrne SN, Gruber-Wackernagel A. New insights into the mechanisms of polymorphic light eruption: Resistance to ultraviolet radiation induced immune suppression as an aetiological factor. Exp Dermatol.2009;18:350-6.
16. Elmets CA, Cala CM, Xu H. Photoimmunology. Dermatol Clin. 2014;32:277-90.
17. Lecha M. Idiopathic photodermatoses: Clinical, diagnostic and therapeutic aspects. Eur Acad Dermatol Venereol. 2001;15:499-505.
18. Lava SA, Simonetti GD, Ragazzi M, Guarino Gubler S, Bianchetti MG. Juvenile spring eruption: An outbreak report and systematic review of the literature. Br J Dermatol. 2013;168:1066-72.
19. Ros AM. Solar purpura –an unusual manifestation of polymorphous light eruption. Photodermatol. 1988;5:47-8.
20. Kalivas J, Kalivas L. Solar purpura appearing in a patient with polymorphous light eruption. Photodermatol Photoimmunol Photomed. 1995;11:31-2.
21. Jansen CT, Karvonen J. Polymorphous light eruption. A seven-year follow-up evaluation of 114 patients. Arch Dermatol. 1984;120:862-5.
22. Murphy GM, Hawk JL. The prevalence of antinuclear antibodies in patients with apparent polymorphic light eruption. Br J Dermatol. 1991;125:448-51.
23. Petzelbauer P, Binder M, Nikolakis P, Ortel B, Honigsmann H. Severe sun sensitivity and the presence of antinuclear antibodies in patients with polymorphous light eruption-like lesions. A form fruste of photosensitive lupus erythematosus? J Am Acad Dermatol. 1992;26:68-74.
24. Hasan T, Ranki A, Jansen CT, Karvonen J. Disease associations in polymorphous light eruption. A longterm follow-up study of 94 patients. Arch Dermatol. 1998;134:1081-5.
25. Mastalier U, Kerl H, Wolf P. Clinical, laboratory, phototest and phototherapy findings in polymorphic light eruptions: A retrospective study of 133 patients. Eur J Dermatol. 1998;8:554-9.
26. Tzaneva S, Volc-Platzer B, Kittler H, Honigsmann H, Tanew A. Antinuclear antibodies in patients with polymorphic light eruption: A long-term follow-up study. Br J Dermatol. 2008;158:1050-4.
27. Stratigos AJ, Antoniou C, Katsambas AD. Polymorphous light eruption. J Eur Acad Dermatol Venerol. 2002;16:193-206.
28. Honigsmann H. Polymorphous light eruption. Photodermatol Photoimmunol Photomed. 2008;24:155-61.
29. Patel DC, Bellaney GJ, Sedd PT, McGregor JM, Hawk JL. Efficacy of short-course oral prednisolone in polymorphic light eruption: A randomized controlled trial. Br J Dermatol. 2000;143:828-31.
30. Pareek A, Khopkar U, Sacchidanand S, Chandurkar N, Naik GS. Comparative study of efficacy and safety of hydroxychloroquine and chloroquine in polymorphic light eruption: A randomized, double-blind, multicentric study. Indian J Dermatol Venerol Leprol. 2008;74:18-22.
31. Rodríguez C, Marsol I. Antimalarials in dermatology: Mechanism of action, indications, and side effects. Actas Dermosifiliogr. 2014;105:243-52.
32. Wolf R, Wolf D, Ruocco V. Antimalarials: Unapproved uses or indications. Clin Dermatol. 2000;18:17-35.
33. Honigsmann H. Mechanisms of phototherapy and photochemotherapy for photodermatoses. Dermatol Ther. 2003;16:23-7.
34. Caccialanza M, Percivalle S, Piccinno R, Brambilla R. Photoprotective activity of oral Polypodium leucotomos extract in 25 patients with idiopathic photodermatoses. Photodermatol Photoimmunol Photomed. 2007;23:46-7.
35. Hanneman KK, Scull HM, Cooper KD, Baron ED. Effect of topical vitamin D analogue on in vivo contact sensitization. Arch Dermatol. 2006;142:1332-4.
36. Valbuena MC, Muvdi S, Lim HW. Actinic prurigo. Dermatol Clin. 2014;32:335-44.
37. Hojyo-Tomoka MT, Vega-Memije ME, Cortés-Franco R. Diagnosis and treatment of actinic prurigo. Dermatol Ther. 2003;16:40-4.
38. Ferguson J. Diagnosis and treatment of the common idiopathic photodermatoses. Australas J Dermatol. 2003;44:90-6.
39. Lane PR, Hogan DJ, Martel MJ, Reeder B, Irvine J. Actinic prurigo: Clinical features and prognosis. J Am Acad Dermatol. 1992;26:683-92.
40. Torres-Álvarez B, Baranda L, Fuentes C, Delgado C, Santos-Martínez L, Portales-Pérez D, et al. An immunohistochemical study of UV-induced skin lesions in actinic prurigo. Resistance of Langerhans cells to UV light. Eur J Dermatol. 1998;8:24-8.
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Cómo citar
1.
Mariaca CJ, Nuñez R. Fotodermatosis mediadas inmunológicamente. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 1 de enero de 2016 [citado 20 de abril de 2024];24(1):29-44. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/300
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Mariaca CJ, Nuñez R. Fotodermatosis mediadas inmunológicamente. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 1 de enero de 2016 [citado 20 de abril de 2024];24(1):29-44. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/300
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