{"id":7471,"date":"2020-04-24T15:20:07","date_gmt":"2020-04-24T18:20:07","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/hydroa-vacciniforme\/"},"modified":"2020-04-27T16:18:07","modified_gmt":"2020-04-27T19:18:07","slug":"hydroa-vacciniform","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/hydroa-vacciniforme\/","title":{"rendered":"Hydroa vacciniforme"},"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\/hydroa-vacciniforme\/#%C2%BFQue-es-hydroa-vacciniforme\" >What is hydroa vacciniforme?<\/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\/hydroa-vacciniforme\/#Hydroa-vacciniforme\" >Hydroa vacciniforme<\/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\/hydroa-vacciniforme\/#%C2%BFQuien-recibe-hydroa-vacciniforme\" >Who receives hydroa vacciniforme?<\/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\/hydroa-vacciniforme\/#%C2%BFCual-es-la-causa-de-hydroa-vacciniforme\" >What is the cause of hydroa vacciniforme?<\/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\/hydroa-vacciniforme\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-hydroa-vacciniforme\" >What are the clinical characteristics of hydroa vacciniforme?<\/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\/hydroa-vacciniforme\/#%C2%BFComo-se-diagnostica-la-hidroa-vacciniforme\" >How is vacciniform hydroa diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hydroa-vacciniforme\/#%C2%BFCual-es-el-tratamiento-para-hydroa-vacciniforme\" >What is the treatment for hydroa vacciniforme?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-hydroa-vacciniforme\"><\/span>What is hydroa vacciniforme?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hydroa vacciniforme is one of the rarest forms of <span class=\"term\" data-term-id=\"706\">photosensitivity<\/span> <span class=\"term\" data-term-id=\"329\">skin disease<\/span>. Affects the sun<span class=\"term\" data-term-id=\"311\">exposed skin<\/span> and is characterized by <span class=\"term\" data-term-id=\"805\">recurrent<\/span> fluid-filled blisters (\u201chydroa\u201d) that heal with smallpox scars (\u201cshotgun\u201d).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Hydroa-vacciniforme\"><\/span>Hydroa vacciniforme<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='hydroa4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3920357-4910106' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hydroa4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3920357.jpg'>\n<\/div>\n<p class=\"p-small\">Hydroa vacciniforme<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hydroa5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2488849-5442618' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hydroa5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2488849.jpg'>\n<\/div>\n<p class=\"p-small\">Hydroa vacciniforme<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hydroa6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-8668241-8535451' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hydroa6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-8668241.jpg'>\n<\/div>\n<p class=\"p-small\">Hydroa vacciniforme<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hydroa1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4741841-1891516' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hydroa1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4741841.jpg'>\n<\/div>\n<p class=\"p-small\">Hydroa vacciniforme<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hydroa2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildjd-3258588-9005894' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hydroa2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDJd-3258588.jpg'>\n<\/div>\n<p class=\"p-small\">Hydroa vacciniforme<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hydroa3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-5347372-9546913' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hydroa3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-5347372.jpg'>\n<\/div>\n<p class=\"p-small\">Hydroa vacciniforme<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-recibe-hydroa-vacciniforme\"><\/span>Who receives hydroa vacciniforme?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hydroa vacciniforme mainly affects children from 3 to 15 years old. It is more commonly diagnosed in women than in men. The disease tends to appear later and to have a longer course in men.<\/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%BFCual-es-la-causa-de-hydroa-vacciniforme\"><\/span>What is the cause of hydroa vacciniforme?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The cause of hydroa vacciniforme is generally unknown. Long wavelength <span class=\"term\" data-term-id=\"1908\">Ultraviolet radiation<\/span> (UVA) is more frequently implicated.<\/p>\n<p>In some cases, vacciniform hydroa has been associated with Epstein-Barr virus (EBV) <span class=\"term\" data-term-id=\"145\">infection<\/span>, which normally results in glandular <span class=\"term\" data-term-id=\"1176\">fever<\/span> (infectious mononucleosis). In these cases, vacciniform hydroa lesions can spread to involve areas that are not exposed to the sun.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-hydroa-vacciniforme\"><\/span>What are the clinical characteristics of hydroa vacciniforme?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The areas exposed to the sun are the most affected and include the face, ears, hands and lower extremities. In most cases, signs and symptoms generally begin to appear approximately 30 minutes to 2 hours after sun exposure and present as:<\/p>\n<ul>\n<li>Mild burning, itching, or stinging<\/li>\n<li>Development of tense and swollen bumps (<span class=\"term\" data-term-id=\"366\">papules<\/span>) and blisters (<span class=\"term\" data-term-id=\"1028\">vesicles<\/span>); there may be facial swelling<\/li>\n<li>These become dimpled, pit-shaped papules with black crusts (<span class=\"term\" data-term-id=\"403\">necrosis<\/span>) on a red and inflamed base<\/li>\n<li>Lesions heal to form pale depressed scars<\/li>\n<\/ul>\n<p>the <span class=\"term\" data-term-id=\"255\">eruption<\/span> it usually appears for the first time in spring with recurrences during the summer months.<\/p>\n<p>Some patients may have other symptoms, even mild ones. <span class=\"term\" data-term-id=\"148\">inflammation<\/span> of the eyes (keratoconjunctivitis and <span class=\"term\" data-term-id=\"973\">photophobia<\/span>), nail and toenail removal (photo-<span class=\"term\" data-term-id=\"207\">onycholysis<\/span>) and rarely fever and <span class=\"term\" data-term-id=\"1211\">discomfort<\/span>. Exaggerated reactions to insect bites are frequent and can cause skin necrosis and <span class=\"term\" data-term-id=\"1278\">ulceration<\/span>.<\/p>\n<p>Severe EBV infection associated with hydroa vacciniforme has resulted in <span class=\"term\" data-term-id=\"1402\">lymphoproliferative<\/span> disorders (non-Hodgkin NK cells <span class=\"term\" data-term-id=\"976\">lymphoma<\/span> or <span class=\"term\" data-term-id=\"613\">leukemia<\/span>) and can have a fatal outcome.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-hidroa-vacciniforme\"><\/span>How is vacciniform hydroa diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span>Hydroa vacciniforme may be clinically suspected. A skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span> It may show characteristic pathological features of hydroa vacciniforme.<\/span><\/p>\n<p>The status of the VEB must be evaluated.<\/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%BFCual-es-el-tratamiento-para-hydroa-vacciniforme\"><\/span>What is the treatment for hydroa vacciniforme?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In most patients, the condition disappears when they reach adolescence, although the scars are permanent. Patients with hydroa vacciniforme should take measures to avoid sun exposure by following sun protection strategies. This includes applying SPF 50+ sunscreens with UVA blocking agents and wearing protective clothing. This can prevent or reduce the number of recurrences of the condition.<\/p>\n<p>Oral medication may be helpful in reducing flare-ups, but it does not reliably prevent vacciniform hydroa lesions.<\/p>\n<ul>\n<li>The most widely used are oral antimalarials, such as hydroxychloroquine.<\/li>\n<li>\n<p>Oral antioxidants like beta carotene can also help.<\/li>\n<\/ul>\n<p>Narrowband UVB phototherapy or photochemotherapy (PUVA) has also been used to confer <span class=\"term\" data-term-id=\"683\">photoprotection<\/span> and desensitization.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es hydroa vacciniforme? Hydroa vacciniforme es una de las formas m\u00e1s raras de fotosensibilidad dermatosis. Afecta al solpiel expuesta y se caracteriza por recurrente ampollas llenas de l\u00edquido (&#8220;hidroa&#8221;)&#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-7471","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7471","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=7471"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7471\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7471"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7471"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}