Ch 87

Fotodermatolojik Bozukluklar

Vol 2 · sayfa 1564 · §13

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Fig. 87.2 Polymorphous light eruption of the face. A Larger erythematous patch on the nose as well as erythematous plaques on the malar eminence and chin. B Edematous erythematous plaques on the cheek in a young child.

Fig.87.2 As.1895

Fig. 87.2 Polymorphous light eruption of the face. A Larger erythematous patch on the nose as well as erythematous plaques on the malar eminence and chin. B Edematous erythematous plaques on the cheek in a young child.

Fig.87.2 Bs.1895

Fig. 87.3 Polymorphous light eruption of the upper extremity. A Small pink edematous papules that are coalescing into plaques on the forearm of an Asian patient. B Pinhead- sized papules in a patient with skin phototype IV. C Scattered discrete papulovesicles. D Larger and more pronounced edematous erythematous papules and plaques.

Fig.87.3 As.1896

Fig. 87.3 Polymorphous light eruption of the upper extremity. A Small pink edematous papules that are coalescing into plaques on the forearm of an Asian patient. B Pinhead- sized papules in a patient with skin phototype IV. C Scattered discrete papulovesicles. D Larger and more pronounced edematous erythematous papules and plaques.

Fig.87.3 Bs.1896

Fig. 87.3 Polymorphous light eruption of the upper extremity. A Small pink edematous papules that are coalescing into plaques on the forearm of an Asian patient. B Pinhead- sized papules in a patient with skin phototype IV. C Scattered discrete papulovesicles. D Larger and more pronounced edematous erythematous papules and plaques.

Fig.87.3 Cs.1896

Fig. 87.3 Polymorphous light eruption of the upper extremity. A Small pink edematous papules that are coalescing into plaques on the forearm of an Asian patient. B Pinhead- sized papules in a patient with skin phototype IV. C Scattered discrete papulovesicles. D Larger and more pronounced edematous erythematous papules and plaques.

Fig.87.3 Ds.1896

Fig. 87.3 Polymorphous light eruption of the upper extremity. A Small pink edematous papules that are coalescing into plaques on the forearm of an Asian patient. B Pinhead- sized papules in a patient with skin phototype IV. C Scattered discrete papulovesicles. D Larger and more pronounced edematous erythematous papules and plaques.

Fig.87.3 Es.1896

Fig. 87.4 Papular variant of polymorphous light eruption. A,B Pinhead-sized papules on the hand and extensor forearm in two African-American adults.

Fig.87.4 As.1896

Fig. 87.4 Papular variant of polymorphous light eruption. A,B Pinhead-sized papules on the hand and extensor forearm in two African-American adults.

Fig.87.4 Bs.1896

Fig. 87.6 Actinic prurigo. Multiple papules on the upper cheek, several of which have central crusts. A linear excoriation is seen on the lower portion of the upper eyelid.

Fig.87.6s.1897

Fig. 87.7 Actinic prurigo. More severe actinic prurigo with involvement of the buttocks as well as sun-exposed sites. Courtesy John L. M. Hawk, MD.

Fig.87.7s.1897

Fig. 87.8 Actinic prurigo. The cheilitis is more severe on the lower vermilion lip. On the upper lip, chronic inflammation has led to blurring of the border between vermilion lip and the cutaneous lip. Courtesy Jean L. Bolognia, MD.

Fig.87.8s.1897

Fig. 87.9 Hydroa vacciniforme – classic form. A Papulovesicles with crusting of the nose, cheeks, and lips appeared a few days after sun exposure. B Hemorrhagic crusts are admixed with varioliform scars; the latter are the sequelae of repeated acute attacks. Note the scaling and erosions of the lower vermilion lip. C Varioliform scars and postinflammatory hyperpigmentation on the cheek. A,C, Courtesy Tor Shwayder, MD; B, Courtesy Jean L. Bolognia, MD.

Fig.87.9 As.1898

Fig. 87.9 Hydroa vacciniforme – classic form. A Papulovesicles with crusting of the nose, cheeks, and lips appeared a few days after sun exposure. B Hemorrhagic crusts are admixed with varioliform scars; the latter are the sequelae of repeated acute attacks. Note the scaling and erosions of the lower vermilion lip. C Varioliform scars and postinflammatory hyperpigmentation on the cheek. A,C, Courtesy Tor Shwayder, MD; B, Courtesy Jean L. Bolognia, MD.

Fig.87.9 Bs.1898

Fig. 87.10 Hydroa vacciniforme-like lymphoproliferative disorder. Extensive involvement of the face by erythem- atous edematous and infiltrated plaques with hemor- rhagic crusts at sites of vesiculation.

Fig.87.10s.1898

Fig. 87.12 Chronic actinic dermatitis. Chronic eczematous changes of the posterior neck with lichenification and a sharp cut-off at the collar in a patient with phototype V skin.

Fig.87.12 As.1899

Fig. 87.12 Chronic actinic dermatitis. Chronic eczematous changes of the posterior neck with lichenification and a sharp cut-off at the collar in a patient with phototype V skin.

Fig.87.12 Bs.1899

Fig. 87.13 Chronic actinic dermatitis. Lichenification and hyperpigmen- tation in sun-exposed sites with areas of depigmentation. Note the sparing of sun-protected areas (e.g. nasolabial fold).

Fig.87.13s.1900

Fig. 87.14 Chronic actinic dermatitis. Chronic eczematous changes of the dorsal hand and wrist with associated hyperpigmentation and scaling. Note the sharp cut-off on the distal forearm.

Fig.87.14s.1900

Fig. 87.16 Solar urticaria. Wheal and flare responses within minutes of exposure to UVB radiation in a patient undergoing phototesting.

Fig.87.16s.1901

Fig. 87.17 Xeroderma pigmentosum. Multiple solar lentigines of the face and a history of photosensitivity in this four-year-old child. Courtesy Antonio Torrelo, MD.

Fig.87.17s.1903

Fig. 87.18 Exogenous drug-induced photosensitivity and hyperpigmentation. Gray–brown patches involving the sun-exposed skin of a patient receiving diltiazem.

Fig.87.18s.1906

Fig. 87.21 Photoaggravated atopic dermatitis induced by the solar simulator. This was the appearance 24 hours after irradiation. Courtesy John L.M. Hawk, MD.

Fig.87.21s.1908

Fig. 87.22 Grover disease. A Crusted erythematous papules on the mid anterior trunk, a common location. B Obvious sparing of the sun-protected skin of the buttocks in this man with significant photodamage. C Papules may be eroded or have central hemorrhagic crusts. A, B, Courtesy Jean L. Bolognia, MD; C, Courtesy Kalman Watsky, MD.

Fig.87.22 As.1909

Fig. 87.22 Grover disease. A Crusted erythematous papules on the mid anterior trunk, a common location. B Obvious sparing of the sun-protected skin of the buttocks in this man with significant photodamage. C Papules may be eroded or have central hemorrhagic crusts. A, B, Courtesy Jean L. Bolognia, MD; C, Courtesy Kalman Watsky, MD.

Fig.87.22 Bs.1909

Fig. 87.22 Grover disease. A Crusted erythematous papules on the mid anterior trunk, a common location. B Obvious sparing of the sun-protected skin of the buttocks in this man with significant photodamage. C Papules may be eroded or have central hemorrhagic crusts. A, B, Courtesy Jean L. Bolognia, MD; C, Courtesy Kalman Watsky, MD.

Fig.87.22 Cs.1909

Fig. 87.22 Grover disease. A Crusted erythematous papules on the mid anterior trunk, a common location. B Obvious sparing of the sun-protected skin of the buttocks in this man with significant photodamage. C Papules may be eroded or have central hemorrhagic crusts. A, B, Courtesy Jean L. Bolognia, MD; C, Courtesy Kalman Watsky, MD.

Fig.87.22 Ds.1909

Fig. 87.22 Grover disease. A Crusted erythematous papules on the mid anterior trunk, a common location. B Obvious sparing of the sun-protected skin of the buttocks in this man with significant photodamage. C Papules may be eroded or have central hemorrhagic crusts. A, B, Courtesy Jean L. Bolognia, MD; C, Courtesy Kalman Watsky, MD.

Fig.87.22 Es.1909

Fig. 87.22 Grover disease. A Crusted erythematous papules on the mid anterior trunk, a common location. B Obvious sparing of the sun-protected skin of the buttocks in this man with significant photodamage. C Papules may be eroded or have central hemorrhagic crusts. A, B, Courtesy Jean L. Bolognia, MD; C, Courtesy Kalman Watsky, MD.

Fig.87.22 Fs.1909

Fig. 87.22 Grover disease. A Crusted erythematous papules on the mid anterior trunk, a common location. B Obvious sparing of the sun-protected skin of the buttocks in this man with significant photodamage. C Papules may be eroded or have central hemorrhagic crusts. A, B, Courtesy Jean L. Bolognia, MD; C, Courtesy Kalman Watsky, MD.

Fig.87.22 Gs.1909

Fig. 87.24 Cutaneous signs of significant photoaging. A Solar elastosis of the neck and V of the chest; note the thickening and furrowing of the skin. B Solar elastosis of the neck extending onto the back in a patient with oculocutaneous albinism from sub-Saharan Africa. C Cutis rhomboidalis nuchae with deep furrowing of the posterior neck. D Poikiloderma of Civatte with sparing of the submental region and follicular skin. E Multiple open comedones of the periorbital region in Favre–Racouchot syndrome. F, G Solar (actinic) purpura and residual discoloration due to hemosiderin. There is also evidence of skin fragility. H Skin tear due to fragility of atrophic photodamaged skin (dermatoporosis) and pseudoscars from previous tears. I Erosive pustular dermatosis of the bald scalp. J Keratoelastoidosis marginalis with keratotic papules in a marginal distribution on the medial aspects of the forefingers. K Given her age, this 93-year-old woman has relatively fine wrinkling of her face, in addition to scattered seborrheic keratoses. A, Courtesy Kalman Watsky, MD; B, Courtesy Rosemarie Moser, MD; D, G, H, Courtesy Jean L. Bolognia, MD; I, Courtesy Harvey Lui, MD; J, Courtesy Karynne O. Duncan, MD.

Fig.87.24 As.1911

Fig. 87.24 Cutaneous signs of significant photoaging. A Solar elastosis of the neck and V of the chest; note the thickening and furrowing of the skin. B Solar elastosis of the neck extending onto the back in a patient with oculocutaneous albinism from sub-Saharan Africa. C Cutis rhomboidalis nuchae with deep furrowing of the posterior neck. D Poikiloderma of Civatte with sparing of the submental region and follicular skin. E Multiple open comedones of the periorbital region in Favre–Racouchot syndrome. F, G Solar (actinic) purpura and residual discoloration due to hemosiderin. There is also evidence of skin fragility. H Skin tear due to fragility of atrophic photodamaged skin (dermatoporosis) and pseudoscars from previous tears. I Erosive pustular dermatosis of the bald scalp. J Keratoelastoidosis marginalis with keratotic papules in a marginal distribution on the medial aspects of the forefingers. K Given her age, this 93-year-old woman has relatively fine wrinkling of her face, in addition to scattered seborrheic keratoses. A, Courtesy Kalman Watsky, MD; B, Courtesy Rosemarie Moser, MD; D, G, H, Courtesy Jean L. Bolognia, MD; I, Courtesy Harvey Lui, MD; J, Courtesy Karynne O. Duncan, MD.

Fig.87.24 Bs.1911

Fig. 87.24 Cutaneous signs of significant photoaging. A Solar elastosis of the neck and V of the chest; note the thickening and furrowing of the skin. B Solar elastosis of the neck extending onto the back in a patient with oculocutaneous albinism from sub-Saharan Africa. C Cutis rhomboidalis nuchae with deep furrowing of the posterior neck. D Poikiloderma of Civatte with sparing of the submental region and follicular skin. E Multiple open comedones of the periorbital region in Favre–Racouchot syndrome. F, G Solar (actinic) purpura and residual discoloration due to hemosiderin. There is also evidence of skin fragility. H Skin tear due to fragility of atrophic photodamaged skin (dermatoporosis) and pseudoscars from previous tears. I Erosive pustular dermatosis of the bald scalp. J Keratoelastoidosis marginalis with keratotic papules in a marginal distribution on the medial aspects of the forefingers. K Given her age, this 93-year-old woman has relatively fine wrinkling of her face, in addition to scattered seborrheic keratoses. A, Courtesy Kalman Watsky, MD; B, Courtesy Rosemarie Moser, MD; D, G, H, Courtesy Jean L. Bolognia, MD; I, Courtesy Harvey Lui, MD; J, Courtesy Karynne O. Duncan, MD.

Fig.87.24 Cs.1911

Fig. 87.24 Cutaneous signs of significant photoaging. A Solar elastosis of the neck and V of the chest; note the thickening and furrowing of the skin. B Solar elastosis of the neck extending onto the back in a patient with oculocutaneous albinism from sub-Saharan Africa. C Cutis rhomboidalis nuchae with deep furrowing of the posterior neck. D Poikiloderma of Civatte with sparing of the submental region and follicular skin. E Multiple open comedones of the periorbital region in Favre–Racouchot syndrome. F, G Solar (actinic) purpura and residual discoloration due to hemosiderin. There is also evidence of skin fragility. H Skin tear due to fragility of atrophic photodamaged skin (dermatoporosis) and pseudoscars from previous tears. I Erosive pustular dermatosis of the bald scalp. J Keratoelastoidosis marginalis with keratotic papules in a marginal distribution on the medial aspects of the forefingers. K Given her age, this 93-year-old woman has relatively fine wrinkling of her face, in addition to scattered seborrheic keratoses. A, Courtesy Kalman Watsky, MD; B, Courtesy Rosemarie Moser, MD; D, G, H, Courtesy Jean L. Bolognia, MD; I, Courtesy Harvey Lui, MD; J, Courtesy Karynne O. Duncan, MD.

Fig.87.24 Ds.1911

Fig. 87.24 Cutaneous signs of significant photoaging. A Solar elastosis of the neck and V of the chest; note the thickening and furrowing of the skin. B Solar elastosis of the neck extending onto the back in a patient with oculocutaneous albinism from sub-Saharan Africa. C Cutis rhomboidalis nuchae with deep furrowing of the posterior neck. D Poikiloderma of Civatte with sparing of the submental region and follicular skin. E Multiple open comedones of the periorbital region in Favre–Racouchot syndrome. F, G Solar (actinic) purpura and residual discoloration due to hemosiderin. There is also evidence of skin fragility. H Skin tear due to fragility of atrophic photodamaged skin (dermatoporosis) and pseudoscars from previous tears. I Erosive pustular dermatosis of the bald scalp. J Keratoelastoidosis marginalis with keratotic papules in a marginal distribution on the medial aspects of the forefingers. K Given her age, this 93-year-old woman has relatively fine wrinkling of her face, in addition to scattered seborrheic keratoses. A, Courtesy Kalman Watsky, MD; B, Courtesy Rosemarie Moser, MD; D, G, H, Courtesy Jean L. Bolognia, MD; I, Courtesy Harvey Lui, MD; J, Courtesy Karynne O. Duncan, MD.

Fig.87.24 Es.1911