Jacob Sharon E, Breithaupt Andrew D
Department of Dermatology and Cutaneous Surgery, University of California San Diego, San Diego, California.
J Clin Aesthet Dermatol. 2009 Sep;2(9):44-5.
This article presents the case of a patient with rheumatoid arthritis who was referred to dermatology for what was suspected to be a photosensitivity reaction to hydroxychloroquine, a common culprit in photodrug reactions. Despite the patient's insistence to the contrary, the cause of her eruption was an airborne allergic contact dermatitis to chemicals she was exposed to during her longtime hobby of soap-making. This case serves as an important illustration of the anatomical differences between eruptions occurring in exposed and photodistributed areas. This article also discusses the causes of dermatitis that may mimic photodrug reactions.
本文介绍了一名类风湿性关节炎患者的病例,该患者因疑似对羟氯喹产生光过敏反应而被转诊至皮肤科,羟氯喹是光药物反应中常见的罪魁祸首。尽管患者坚称并非如此,但她皮疹的病因是一种空气传播性过敏性接触性皮炎,是她在长期从事肥皂制作爱好过程中接触到的化学物质所致。该病例有力地说明了暴露部位和光分布部位皮疹的解剖学差异。本文还讨论了可能酷似光药物反应的皮炎病因。