Nassan H, Dawe R S, Moseley H, Ibbotson S H
H Naasan, Dermatology Department, Ninewells Hospital and Medical School, Dundee, UK. Email:
J R Coll Physicians Edinb. 2017 Dec;47(4):345-350. doi: 10.4997/JRCPE.2017.408.
Background The Scottish Photobiology Service is the national referral pathway for patients with cutaneous photosensitivity diseases in Scotland. We reviewed the pattern of diagnosis of photosensitivity diseases and investigations performed between 1989 and 2015. Methods and Results Data were collected from the Photodiagnostic Database, annual reports and paper records. The total number of patients assessed each year was stable over the period studied (median 242 [range 231-266]), with most being new patients (median 69 [range 62-73]%). Monochromator phototesting was the most utilised investigation, although the use of provocation testing and photopatch testing has increased. The most common diagnosis was polymorphic light eruption, and there was a trend to increasing diagnosis of photoaggravated atopic eczema. Conclusions The pattern of diagnosis of photosensitivity diseases remains fairly stable in Scotland and we wish to emphasise the importance of this Scottish specialist service for patients with photosensitivity diseases and referrers.
背景 苏格兰光生物学服务是苏格兰皮肤光敏性疾病患者的国家转诊途径。我们回顾了1989年至2015年间光敏性疾病的诊断模式及所进行的检查。方法与结果 数据收集自光诊断数据库、年度报告及纸质记录。在所研究期间，每年评估的患者总数稳定（中位数242例[范围231 - 266例]），大多数为新患者（中位数69例[范围62% - 73%]）。单色仪光测试是最常用的检查，不过激发试验和光斑贴试验的使用有所增加。最常见的诊断是多形性日光疹，且光加重性特应性皮炎的诊断有增加趋势。结论 苏格兰光敏性疾病的诊断模式保持相当稳定，我们希望强调这项苏格兰专科服务对光敏性疾病患者及转诊者的重要性。
