PMID- 11488714 OWN - NLM STAT- MEDLINE DCOM- 20010830 LR - 20190921 IS - 0004-8380 (Print) IS - 0004-8380 (Linking) VI - 42 IP - 3 DP - 2001 Aug TI - A case of severe actinic prurigo successfully treated with thalidomide. PG - 192-5 AB - Actinic prurigo is an uncommon and usually persistent idiopathic photodermatosis with typical human leukocyte antigen (HLA) associations (HLA-DR4, particularly subtypes DRB1*0407 and DRB1*0401). Although its mechanism of action is not clearly understood, thalidomide has been shown to be particularly efficacious in treating actinic prurigo, among other conditions. A 31-year-old Australian woman who had suffered actinic prurigo for most of her life was treated with two courses of thalidomide (50-100 mg nocte) over consecutive summers. Remission was observed after cessation of the second course of thalidomide and had continued 4 years later. Abnormalities in the cutaneous response to ultraviolet radiation at the time of diagnosis, detected by monochromator phototesting, reverted to normal following treatment. FAU - Ng, J C AU - Ng JC AD - The University of Melbourne, Department of Medicine (Dermatology), St Vincent's Hospital, Melbourne, Victoria, Australia. FAU - Foley, P A AU - Foley PA FAU - Crouch, R B AU - Crouch RB FAU - Baker, C S AU - Baker CS LA - eng PT - Case Reports PT - Journal Article PT - Review PL - Australia TA - Australas J Dermatol JT - The Australasian journal of dermatology JID - 0135232 RN - 0 (Dermatologic Agents) RN - 4Z8R6ORS6L (Thalidomide) SB - IM MH - Adult MH - Arm MH - Dermatitis, Photoallergic/*diagnosis/drug therapy/pathology MH - Dermatologic Agents/*therapeutic use MH - Diagnosis, Differential MH - Facial Dermatoses/*diagnosis/drug therapy/pathology MH - Female MH - Humans MH - Prurigo/*diagnosis/drug therapy/pathology MH - Thalidomide/*therapeutic use RF - 17 EDAT- 2001/08/08 10:00 MHDA- 2001/08/31 10:01 CRDT- 2001/08/08 10:00 PHST- 2001/08/08 10:00 [pubmed] PHST- 2001/08/31 10:01 [medline] PHST- 2001/08/08 10:00 [entrez] AID - ajd513 [pii] AID - 10.1046/j.1440-0960.2001.00513.x [doi] PST - ppublish SO - Australas J Dermatol. 2001 Aug;42(3):192-5. doi: 10.1046/j.1440-0960.2001.00513.x.