Pathology
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Atlas of dermatopathology
Josef Feit, Hana Jedličková, Günter Burg, Luděk Matyska, Spasoje Radovanovic et al.
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+ Introduction
+ Literature
+ Support
+ Skin biopsy
+ Non-tumorous skin diseases
+ Skin tumors
+ Cysts of the skin and subcutis
+ Soft tissue lesions
+ Some lesions of the oral cavity
+ Dermatovenerology
+ Collection of histological slides by prof. Günter Burg
+ Collection of histological slides by prof. Werner Kempf
+ Collection of histological slides of dr. Ram Chandra Adhikari
Phototoxic and photoallergic reactions
Introduction

Phototoxic dermatitis is caused by contact or ingestion of some photosensitizing substance. Phytophotodermatitis affects anyone, who gets in contact with some plants containing furocoumarins and later gets exposed to sunlight (dermatitis striata praetensis of Hebra).

Photoallergic dermatitis appears after exposure to some photosensitizing agent (usually drugs) applied on the skin and following exposure to sunlight. The reaction develops in senzitized persons by delayed hypersensibility reaction.

Acute solar dermatitis is caused by severe UV irradiation of a sensitive skin. In phototoxic and protoallergic reactions some photosensibilizing agens is effective as well (some drugs, desinfecting agents, various plants etc.)

Polymorphous solar eruption affects insolation areas, more often women; prutitus, papules, vesicles.

Dermatitis vernalis aurium Dermatosis of the auricles. Affects young people at spring, caused by sunshine combined with cold.

Actinic reticuloid form of a chronic actinic reaction.

Solar urticaria immediate urticarial response to sunshine

Hydroa vacciniforme rare disease of children, characterized by hemorrhagic blisters and necroses

Clinical signs
  • 1st grade: erythema, burning sensation
  • 2nd grade: blisters
  • 3rd grade: necrosis (rare)
  • late stage: pigmentations, peeling
Pictures

Positive biodosis 1 – 5 minutes: Solar reaction, Clinical picture (709)

Dermatitis solaris, 1st grade: erythema: Solar reaction, Clinical picture (710)

Dermatitis striata praetensis, hand, blisters: Solar reaction, Clinical picture (711)

Dermatitis striata praetensis, thighs, stripes caused by plants: Solar reaction, Clinical picture (712)

Erythema solare: Erythema solare, Clinical picture (2919) Erythema solare, Clinical picture (2920)

Erythema solare: Erythema solare, Clinical picture (2921) Erythema solare, Clinical picture (2922) Erythema solare, Clinical picture (2923) Erythema solare, Clinical picture (2924)

Phytophotodermatosis, dermatitis praetensis: Phytophotodermatosis, Clinical picture (3227) Phytophotodermatosis, Clinical picture (3230) Phytophotodermatosis, Clinical picture (3231) Phytophotodermatosis, Clinical picture (3232) Phytophotodermatosis, Clinical picture (3233) Phytophotodermatosis, Clinical picture (3234) Phytophotodermatosis, Clinical picture (3235) Phytophotodermatosis, Clinical picture (3236) Phytophotodermatosis, Clinical picture (3219) Phytophotodermatosis, Clinical picture (3220) Phytophotodermatosis, Clinical picture (3221) Phytophotodermatosis, Clinical picture (3222) Phytophotodermatosis, Clinical picture (3223) Phytophotodermatosis, Clinical picture (3224) Phytophotodermatosis, Clinical picture (3225)

Bullous phytophotodermatosis, leg: Phytophotodermatosis, Clinical picture (3226) Phytophotodermatosis, Clinical picture (3229)

Dermatitis vernalis aurium: Dermatitis vernalis aurium, Clinical picture (5572) Dermatitis vernalis aurium, Clinical picture (5573) Dermatitis vernalis aurium, Clinical picture (5574)

Further examples of dermatitis solaris:

Further examples of photodermatoses:

Histology

Phototoxic dermatitis: dyskeratosis, necroses (in less severe forms of individual keratinocytes only). Alteration of the basal layer.

Photoallergic dermatitis is characterized by spongiosis, dyskeratosis, perivascular lymphocytic infiltrate with variable admixture of neutrophils.

Polymorphous light eruption: variable picture, some spongiosis, usually scattered necrotic or dyskeratotic keratinocytes, variable vacuolar degeneration; dermal edema; perivascular lymphocytic infiltrate; sometimes extravasation of erythrocytes. Sometimes subepidermal or intraepidermal vesicles.