Polymorphous Light Eruption Clinic Aspects and Pathogenesis

被引:63
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
[61]   Effect of topical vitamin D analogue on in vivo contact sensitization [J].
Hanneman, Kaija K. ;
Scull, Heather M. ;
Cooper, Kevin D. ;
Baron, Elma D. .
ARCHIVES OF DERMATOLOGY, 2006, 142 (10) :1332-1334
[62]   Ultraviolet B-induced suppression of immune responses in interleukin-4-/-mice: Relationship to dermal mast cells [J].
Hart, PH ;
Grimbaldeston, MA ;
Jaksic, A ;
Tan, JE ;
Swift, GJ ;
Hosszu, EK ;
Halliday, GM ;
Finlay-Jones, JJ .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 2000, 114 (03) :508-513
[63]   Dermal mast cells determine susceptibility to ultraviolet B-induced systemic suppression of contact hypersensitivity responses in mice [J].
Hart, PH ;
Grimbaldeston, MA ;
Swift, GJ ;
Jaksic, A ;
Noonan, FP ;
Finlay-Jones, JJ .
JOURNAL OF EXPERIMENTAL MEDICINE, 1998, 187 (12) :2045-2053
[64]   Modulation of the immune system by UV radiation: more than just the effects of vitamin D? [J].
Hart, Prue H. ;
Gorman, Shelley ;
Finlay-JonesO, John J. .
NATURE REVIEWS IMMUNOLOGY, 2011, 11 (09) :584-596
[65]   Disease associations in polymorphous light eruption - A long-term follow-up study of 94 patients [J].
Hasan, T ;
Ranki, A ;
Jansen, CT ;
Karvonen, J .
ARCHIVES OF DERMATOLOGY, 1998, 134 (09) :1081-1085
[66]   THE PRESENCE OF NEUTROPHILS IN HUMAN CUTANEOUS ULTRAVIOLET-B INFLAMMATION [J].
HAWK, JLM ;
MURPHY, GM ;
HOLDEN, CA .
BRITISH JOURNAL OF DERMATOLOGY, 1988, 118 (01) :27-30
[67]   Effect of 17β-estradiol on immunosuppression induced by ultraviolet B irradiation [J].
Hiramoto, K ;
Tanaka, H ;
Yanagihara, N ;
Sato, EF ;
Inoue, M .
ARCHIVES OF DERMATOLOGICAL RESEARCH, 2004, 295 (8-9) :307-311
[68]  
HJORTH N, 1972, ACTA DERM-VENEREOL, V52, P61
[69]   Topical liposomal DNA-repair enzymes in polymorphic light eruption [J].
Hofer, Angelika ;
Legat, Franz J. ;
Gruber-Wackernagel, Alexandra ;
Quehenberger, Franz ;
Wolf, Peter .
PHOTOCHEMICAL & PHOTOBIOLOGICAL SCIENCES, 2011, 10 (07) :1118-1128
[70]   POLYMORPHOUS LIGHT ERUPTION [J].
HOLZLE, E ;
PLEWIG, G ;
VONKRIES, R ;
LEHMANN, P .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1987, 88 (03) :S32-S38