PMID- 10908176 OWN - NLM STAT- MEDLINE DCOM- 20001103 LR - 20191104 IS - 1046-199X (Print) IS - 1046-199X (Linking) VI - 11 IP - 2 DP - 2000 Jun TI - Solar urticaria: a report on 57 cases. PG - 89-94 AB - BACKGROUND: Solar urticaria (SU) represents an uncommon skin disorder, characterized by pruritic erythema and wheals after sun exposure, that sometimes restricts normal daily life. OBJECTIVE: To evaluate data concerning sex, age, natural history, associated diseases, and eliciting wavebands of 57 SU cases. METHODS: Questionnaire for anamnestic data, laboratory examinations, phototesting. RESULTS: Sex: 25 (44%) males, 32 (56%) females. Age: The peak age was between 20 and 30 years. Skin type (ST): 12 (21%) ST II, 39 (68%) ST III, and 6 (11%) ST IV. Time between onset and complete disappearance of SU was from 2 to more than 6 years; the main peak (37 patients) between 4 and 6 years. There were histories of atopic dermatitis 12 (21%) and asthma or rhinitis 15 (26%). Association with other urticarias (U): 13 (21%) dermographic U, 2 food U, 3 heat U. Increased immunoglobin E (IgE): 19 (33%). Eliciting wavebands: 38 (67%) visible light (VIS), 16 (28%) long ultraviolet (UVA), 3 natural sunlight. Minimal urticarial dose (MUD): 20-37.5 J/cm2 for VIS-sensitive patients, 5-10 J/cm2 for UVA. CONCLUSIONS: In our series: 1. SU affects both sexes usually when they are under 30 years of age; 2. nearly half the patients are free of disease within 5 years; 3. in about one fourth of cases SU is associated with dermographic urticaria or displays a history of atopic dermatitis; 4. the wheals are elicited mainly by VIS or UVA; 5. SU can be prevented, at least in part, by antihistamines or by PUVA therapy. FAU - Monfrecola, G AU - Monfrecola G AD - Department of Dermatology, University Federico II, Naples, Italy. monfreco@unina.it FAU - Masturzo, E AU - Masturzo E FAU - Riccardo, A M AU - Riccardo AM FAU - Balato, F AU - Balato F FAU - Ayala, F AU - Ayala F FAU - Di Costanzo, M P AU - Di Costanzo MP LA - eng PT - Journal Article PL - Canada TA - Am J Contact Dermat JT - American journal of contact dermatitis : official journal of the American Contact Dermatitis Society JID - 9100472 SB - IM MH - Adolescent MH - Adult MH - Age Distribution MH - Age Factors MH - Aged MH - Child MH - Dermatitis, Photoallergic/*epidemiology/etiology MH - Female MH - Humans MH - Light/*adverse effects MH - Male MH - Middle Aged MH - Quality of Life MH - Surveys and Questionnaires MH - Ultraviolet Rays/*adverse effects MH - Urticaria/*epidemiology/etiology EDAT- 2000/07/25 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/07/25 11:00 PHST- 2000/07/25 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/07/25 11:00 [entrez] AID - S1046199X00992480 [pii] AID - 10.1053/ac.2000.6347 [doi] PST - ppublish SO - Am J Contact Dermat. 2000 Jun;11(2):89-94. doi: 10.1053/ac.2000.6347.