Solar urticaria induced by visible light and inhibited by UVA.

Photo-dermatology Pub Date : 1988-08-01
V Leenutaphong, R von Kries, E Hölzle, G Plewig
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Abstract

A 17-year-old male with solar urticaria is described. The action spectrum ranged from 400 to 520 nm. Wheals induced by visible light were inhibited by simultaneous or subsequent irradiation of the skin with UVA radiation. UVA irradiation prior to exposure to eliciting wavelengths revealed no inhibitory effect, nor was an inhibitory effect found by pre- or postirradiation of test sites with visible light longer than 530 nm. In vitro activation of the patient's serum by exposure to visible light induced wheal formation at the injection site. The wheal formed by in vitro-activated serum was suppressed only when the serum was exposed to UVA after, but not before irradiation with wavelengths of the action spectrum. This suggests that the inactivation of a photoallergen rather than of its precursor is the mechanism by which UVA exerts an inhibitory effect.

日光性荨麻疹由可见光诱发,UVA抑制。
报告一17岁男性日光性荨麻疹患者。作用光谱范围为400 ~ 520 nm。同时或随后用UVA辐射照射皮肤可抑制可见光引起的皮疹。暴露于诱导波长之前的UVA照射未显示出抑制作用,对测试部位进行超过530 nm的可见光照射前或后也未发现抑制作用。在体外激活病人的血清暴露于可见光诱导的车轮形成在注射部位。体外活化血清形成的车轮只在UVA照射后受到抑制,而在作用谱波长的UVA照射前则没有。这表明UVA发挥抑制作用的机制是光过敏原的失活,而不是其前体的失活。
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