IN PREVIOUS publications by this group,1 a tentative classification of the light-sensitive skin eruptions was formulated. The following working classification based on types of lesions was adopted: (1) plaque-like type, (2) contact eczematous type, (3) papular and prurigo-like types, and (4) erythematous type—erythema solare perstans
The plaque-like form has been the subject of a previous publication,1 presented in considerable detail.
The first patient to be reported on here had vesiculobullous and prurigo-like lesions with scarring, a peculiar yellowish-brown color, and a leathery texture. He did not have porphyria but had cirrhosis of the liver. Nékám2 described a similar severe light-sensitive eruption in a farmer aged 37 in whom the disease developed at the age of 20. He had bullous lesions, pigmentation, and atrophy of the face and hands. There was no mention of liver disease.
The lesions of the second and third patients are not readily