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May 1964


Arch Dermatol. 1964;89(5):761-763. doi:10.1001/archderm.1964.01590290127021

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Polymorphous Light Eruption. Presented by Dr. Frank E. Cormia. 

History.—  A 54-year-old unmarried white woman has had a recurring dermatosis of the face, neck, and upper extremities for nearly four years. The eruption has varied in severity but has never been completely involuted. It has flared up in the winter and also in the summer months after exposure to sun. Her office has been equipped with fluorescent lighting for six years. The eruption has been erythematous, papular, and occasionally vesicular or even bullous in character. There has been little itching or burning. There has been considerable improvement since protective measures have been instituted.The past history has been negative, with the exception of recurrent sore throats in childhood, and rheumatic fever which persisted to about age 25. There is no history of photosensitivity in the family.

Examination.—  Erythematous and papular lesions are present on the exterior aspects of hands, forearms,

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