Piñol Aguadé J, Peyri Rey J
Med Cutan Ibero Lat Am. 1975;3(3):193-8.
A possibly new clinical picture observed in summer time is described by the authors. It consists of a lichenoid eruption suggesting sand dermatitis and occurring after prolonged sun exposures. The symptoms disappear 6-8 days after exposure but recurred at each new sun bath. The localization of the lesions on both covered and uncovered parts of the body did not favour the hypothesis of a direct action on the skin of the sun radiation. The histological picture was characteristic and consisted of focal parakeratosis, spongiosis, exocytosis of the epidermis and an angeitis of the blood vessels, of the upper dermis with alteration of the walls and lymphohistiocytary infiltrate of importance disproportionate to the smallnes of the clinical lesion. The name of "summer lichenoid papulosis" is given by the authors to this clinical entity and the differential diagnosis with other similar clinical pictures is established.
作者描述了一种在夏季观察到的可能全新的临床症状。它表现为类似苔藓样的皮疹，类似沙地皮炎，在长时间日晒后出现。症状在暴露后6 - 8天消失，但每次新的日光浴后都会复发。病变在身体遮盖和未遮盖部位均有出现，这一情况不支持太阳辐射直接作用于皮肤的假说。组织学表现具有特征性，包括局灶性角化不全、海绵形成、表皮细胞外渗以及真皮上部血管的血管炎，血管壁改变，且淋巴细胞和组织细胞浸润程度与临床病变的轻微程度不成比例。作者将这种临床病症命名为“夏季苔藓样丘疹病”，并与其他类似临床症状进行了鉴别诊断。
