Bedi T R
Dermatologica. 1978;157(2):115-25. doi: 10.1159/000250816.
A distinct summertime skin disorder seen in 25 Indian patients is described under a tentative designation of summertime actinic lichenoid eruption (SALE). The eruption predominantly affects females in their 2nd to 4th decade. The initial lesions are in the form of closely aggregated pruritic lichenoid papules starting during summer months on the exposed parts of the body. The lesions respond favourably to sun protection and corticosteroid cream but the recurrences are common during the subsequent summers when the lesions tend to become more persistent, pruritic and lichenified. Histopathologic features include early basal cell degeneration, spongiotic vesiculation with or without focal parakeratosis and an intense lymphocytic infiltrate in the dermis. In spite of strong clinical evidence of relation to sunlight, the lesions are not easily reproducible by artificial light.
本文描述了25名印度患者中出现的一种独特的夏季皮肤疾病，暂定名为夏季光化性苔藓样疹（SALE）。该皮疹主要影响20至40岁的女性。最初的皮损表现为在夏季开始时，身体暴露部位出现紧密聚集的瘙痒性苔藓样丘疹。这些皮损对防晒和皮质类固醇乳膏反应良好，但在随后的夏季复发很常见，此时皮损往往变得更持久、瘙痒且苔藓化。组织病理学特征包括早期基底细胞变性、伴有或不伴有局灶性角化不全的海绵状水疱形成以及真皮内强烈的淋巴细胞浸润。尽管有很强的临床证据表明与阳光有关，但人工光不易诱发这些皮损。
