This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—
In the August 1978 Archives (114:1193-1196), Bickers et al reported two cases of hydroa vacciniforme that were treated successfully with beta carotene. I report another similar case of an 8-year-old boy seen initially in September 1978 with a four-year history of crusted, ulcerated lesions of the lower lip (Fig 1) and papulovesicular lesions over the sun-exposed areas of the skin, mainly on the forearms. The biopsy specimen of a forearm lesion showed a picture consistent with hydroa vacciniforme. Results of porphyrin studies were normal.The patient was treated with oral beta carotene (60 mg/day), and the lesions disappeared after four weeks of medication. His tolerance to sunlight also improved. The usefulness of the beta carotene was emphasized when there was a relapse and reappearance of the lesions after the first supply of medication was exhausted.In September 1979, when in Aracaju, Brazil, he was exposed to the
Gildo Andrade Simões. Hydroa Vacciniforme. Arch Dermatol. 1980;116(6):619–620. doi:10.1001/archderm.1980.01640300007004
* * Maintenance Notice * *
Maintenance will be performed from 11:00pm CT December 16, 2017 to 4:00pm CT December 17. Please be advised that your site/services may be periodically unavailable during this maintenance window.