Polymorphous Light Eruption Clinic Aspects and Pathogenesis

被引:58
作者
Gruber-Wackernagel, Alexandra [1 ]
Byrne, Scott N. [2 ]
Wolf, Peter [1 ]
机构
[1] Med Univ Graz, Dept Dermatol, Res Unit Photodermatol, A-8036 Graz, Austria
[2] Univ Sydney, Royal Prince Alfred Hosp, Sydney Med Sch, Dept Dermatol, Darlington, NSW 2006, Australia
基金
奥地利科学基金会;
关键词
Polymorphous light eruption; Polymorphic; Photoantigen; Immune suppression; Cytokines; Chemotaxis; Photoprotection; Skin cancer; TUMOR-NECROSIS-FACTOR; LANGERHANS CELL-MIGRATION; CONTACT HYPERSENSITIVITY RESPONSES; VITAMIN-D STATUS; CUTANEOUS LUPUS-ERYTHEMATOSUS; PLASMACYTOID DENDRITIC CELLS; PLATELET-ACTIVATING-FACTOR; INDUCED IMMUNE SUPPRESSION; JUVENILE SPRING ERUPTION; ANTIGEN-PRESENTING CELLS;
D O I
10.1016/j.det.2014.03.012
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Polymorphous light eruption is an immunologically mediated photodermatosis with high prevalence, particularly among young women in temperate climates, characterized by pruritic skin lesions of variable morphology, occurring in spring or early summer on sun-exposed body sites. A resistance to ultraviolet radiation (UVR)-induced immunosuppression and a subsequent delayed-type hypersensitivity response to a photoantigen have been suggested as key factors in the disease. Molecular and immunologic disturbances associated with disease pathogenesis include a failure of skin infiltration by neutrophils and other regulatory immune cells on UVR exposure linked to a disturbed cytokine microenvironment. Standard management is based on prevention.
引用
收藏
页码:315 / +
页数:21
相关论文
共 202 条
  • [1] IFN-α and IFN-β: A link between immune memory and chronic inflammation
    Akbar, AN
    Lord, JM
    Salmon, M
    [J]. IMMUNOLOGY TODAY, 2000, 21 (07): : 337 - +
  • [2] IDENTIFICATION OF THE MOLECULAR TARGET FOR THE SUPPRESSION OF CONTACT HYPERSENSITIVITY BY ULTRAVIOLET-RADIATION
    APPLEGATE, LA
    LEY, RD
    ALCALAY, J
    KRIPKE, ML
    [J]. JOURNAL OF EXPERIMENTAL MEDICINE, 1989, 170 (04) : 1117 - 1131
  • [3] SKIN-CANCER
    ARMSTRONG, BK
    KRICKER, A
    [J]. DERMATOLOGIC CLINICS, 1995, 13 (03) : 583 - 594
  • [4] Vitamin D and autoimmunity: New aetiological and therapeutic considerations
    Arnson, Yoav
    Amital, Howard
    Shoenfeld, Yehuda
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2007, 66 (09) : 1137 - 1142
  • [5] Why is polymorphous light eruption so common in young women?
    Aubin, F
    [J]. ARCHIVES OF DERMATOLOGICAL RESEARCH, 2004, 296 (05) : 240 - 241
  • [7] Chemokines and leukocyte traffic
    Baggiolini, M
    [J]. NATURE, 1998, 392 (6676) : 565 - 568
  • [8] Bickers D R, 1985, Emerg Med Clin North Am, V3, P659
  • [9] Toll-like receptor 4-dependent activation of dendritic cells by β-defensin 2
    Biragyn, A
    Ruffini, PA
    Leifer, CA
    Klyushnenkova, E
    Shakhov, A
    Chertov, O
    Shirakawa, AK
    Farber, JM
    Segal, DM
    Oppenheim, JJ
    Kwak, LW
    [J]. SCIENCE, 2002, 298 (5595) : 1025 - 1029
  • [10] Influence of the quantity of sunscreen applied on the ability to protect against ultraviolet-induced polymorphous light eruption
    Bissonnette, Robert
    Nigen, Simon
    Bolduc, Chantal
    [J]. PHOTODERMATOLOGY PHOTOIMMUNOLOGY & PHOTOMEDICINE, 2012, 28 (05) : 240 - 243