{"id":6501,"date":"2020-04-21T23:47:47","date_gmt":"2020-04-22T02:47:47","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/dermatitis-actinica-cronica\/"},"modified":"2020-04-27T17:27:29","modified_gmt":"2020-04-27T20:27:29","slug":"chronic-actinic-dermatitis","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-actinica-cronica\/","title":{"rendered":"Chronic actinic dermatitis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-actinica-cronica\/#Que-es-cronico-actinico-dermatitis\" >What is chronic actinic dermatitis?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-actinica-cronica\/#Dermatitis-actinica-cronica\" >Chronic actinic dermatitis<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-actinica-cronica\/#%C2%BFQuien-contrae-dermatitis-actinica-cronica\" >Who gets chronic actinic dermatitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-actinica-cronica\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-dermatitis-actinica-cronica\" >What are the clinical features of chronic actinic dermatitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-actinica-cronica\/#%C2%BFComo-se-diagnostica-la-dermatitis-actinica-cronica\" >How is chronic actinic dermatitis diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatitis-actinica-cronica\/#%C2%BFCual-es-el-tratamiento-para-la-dermatitis-actinica-cronica\" >What is the treatment for chronic actinic dermatitis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-cronico-actinico-dermatitis\"><\/span>What is it <span class=\"term\" data-term-id=\"319\">chronic<\/span> actinic <span class=\"term\" data-term-id=\"53\">dermatitis<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Chronic actinic dermatitis is a rare skin condition that mainly affects men over the age of 50. It is characterized by severely itchy, red, inflamed and thickened dry skin, mainly in areas that have been exposed to sunlight or artificial light. The condition is also known as chronic. <span class=\"term\" data-term-id=\"706\">photosensitivity<\/span> dermatitis and actinic reticuloid (this name comes from the <span class=\"term\" data-term-id=\"474\">histological<\/span> skin findings <span class=\"term\" data-term-id=\"1111\">biopsies<\/span> that resemble a reticulosis or <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> <span class=\"term\" data-term-id=\"631\">T cell<\/span> <span class=\"term\" data-term-id=\"976\">lymphoma<\/span>)<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Dermatitis-actinica-cronica\"><\/span>Chronic actinic dermatitis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='act-derm1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3603198-6687631' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/act-derm1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3603198.jpg'>\n<\/div>\n<p class=\"p-small\">Chronic actinic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='act-derm2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1828539-1581664' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/act-derm2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1828539.jpg'>\n<\/div>\n<p class=\"p-small\">Chronic actinic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='act-derm3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4106896-8880449' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/act-derm3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4106896.jpg'>\n<\/div>\n<p class=\"p-small\">Chronic actinic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='act-derm4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-1115133-2935582' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/act-derm4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-1115133.jpg'>\n<\/div>\n<p class=\"p-small\">Chronic actinic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='act-derm5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-1189446-9248464' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/act-derm5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-1189446.jpg'>\n<\/div>\n<p class=\"p-small\">Chronic actinic dermatitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='act-derm6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-1673818-4709471' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/act-derm6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-1673818.jpg'>\n<\/div>\n<p class=\"p-small\">Chronic actinic dermatitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-dermatitis-actinica-cronica\"><\/span>Who gets chronic actinic dermatitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Chronic actinic dermatitis mainly affects middle-aged or elderly men.<\/p>\n<p>In many patients with the condition, there is often a history of other types of dermatitis, including <span class=\"term\" data-term-id=\"922\">atopic<\/span> dermatitis, allergic contact dermatitis (especially to plants like chrysanthemum) and photo contact dermatitis for many years before photosensitivity develops. In these cases, it is sometimes called a persistent light reaction.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-dermatitis-actinica-cronica\"><\/span>What are the clinical features of chronic actinic dermatitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>the <span class=\"term\" data-term-id=\"255\">eruption<\/span> can develop in all areas exposed to the sun, with the face, neck and upper chest V-shaped <span class=\"term\" data-term-id=\"69\">distribution<\/span> and back of the hands most commonly affected. The lesions are generally red and inflamed with <span class=\"term\" data-term-id=\"384\">climbing<\/span> and <span class=\"term\" data-term-id=\"167\">lichenification<\/span> (thickened and hardened patches of skin). The rash can be very itchy. The rash can spread to other areas of the body where the skin is covered by clothing.<\/p>\n<p>The rash can be triggered by as little as 30 seconds of exposure to daylight. It is a condition that is often present throughout the year. Patients are at risk even on boring days and through the window glass. Some of them also react to artificial light sources, especially bare fluorescent lamps.<\/p>\n<p>Tests show that chronic actinic dermatitis is due to abnormal reactions to UVB, UVA, and, in severe cases, to visible light.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-dermatitis-actinica-cronica\"><\/span>How is chronic actinic dermatitis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Phototransfer can be used to confirm the diagnosis. This involves specialized tests in which the skin areas are exposed to known amounts of light of specific wavelengths. The reactions that develop confirm the presence of an abnormal reaction to light.<\/p>\n<p><span class=\"term\" data-term-id=\"224\">Patch<\/span> Photo patch tests and tests are also used. Positive patch test reactions found to one or more <span class=\"term\" data-term-id=\"409\">Allergens<\/span> It occurs in 75% in patients with chronic actinic dermatitis, fragrance, sunscreens, rosin, and sesquiterpene lactones (found in the diasy plant family).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-dermatitis-actinica-cronica\"><\/span>What is the treatment for chronic actinic dermatitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Patients with chronic actinic dermatitis should take steps to avoid sun exposure by following sun protection strategies. In severe cases, the patient may need to be admitted to a dark room in the hospital.<\/p>\n<p>Also, if a contact <span class=\"term\" data-term-id=\"1136\">allergy<\/span> When involved, the patient should try to avoid the offending substance.<\/p>\n<p>Treatment also includes:<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"1888\">Emollients<\/span><\/li>\n<li><span class=\"term\" data-term-id=\"1330\">Current<\/span> corticosteroids<\/li>\n<li>\n<p>Topical tacrolimus or pimecrolimus <span class=\"term\" data-term-id=\"1121\">cream<\/span>\n<\/li>\n<\/ul>\n<p>In severe cases, oral immunosuppressive treatments may be required. These include:<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"380\">Systemic<\/span> corticosteroids<\/li>\n<li>Azathioprine<\/li>\n<li>Cyclosporine<\/li>\n<\/ul>\n<p>Extremely cautious desensitization with systemic steroid-coated narrowband photochemotherapy (PUVA) or UVB has been successful in some cases.<\/p>\n<p>The condition can resolve spontaneously, sometimes many years after the onset of the disease. For most people, it&#039;s a life-long condition that requires significant lifestyle changes to avoid sunlight and contact allergens.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es cr\u00f3nico act\u00ednico dermatitis? La dermatitis act\u00ednica cr\u00f3nica es una afecci\u00f3n cut\u00e1nea rara que afecta principalmente a hombres mayores de 50 a\u00f1os. Se caracteriza por piel seca severamente con&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6501","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6501","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6501"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6501\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6501"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6501"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6501"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}