Alergia słoneczna
Epidemiologia

Termin „alergia słoneczna” obejmuje głównie polymorphous light eruption (PMLE) oraz pokrzywkę słoneczną (solar urticaria), które różnią się patofizjologią i manifestacją kliniczną, ale łączy je nadwrażliwość na promieniowanie UV lub widzialne. PMLE jest najczęstszą idiopatyczną fotodermatozą, występującą u 10-20% populacji w USA i Europie Zachodniej, z niższą częstością w Chinach (0,65%) i najwyższą w Irlandii (21,4%). Choroba pojawia się najczęściej w pierwszych trzech dekadach życia, z przewagą kobiet (2-3:1) i częstszym występowaniem u osób o jasnej karnacji oraz w klimacie umiarkowanym. Pokrzywka słoneczna jest rzadsza, stanowiąc <0,5% wszystkich pokrzywek i około 7% fotodermatoz, z około 650 udokumentowanymi przypadkami na świecie, średni wiek zachorowania to 35-38 lat, z przewagą kobiet. W diagnostyce pokrzywki słonecznej istotne są testy prowokacyjne w jednostkach fotobiologicznych, a objawy najczęściej ograniczają się do obszarów eksponowanych na światło widzialne lub naturalne.

Epidemiologia alergii słonecznej

Termin „alergia słoneczna” obejmuje różne jednostki chorobowe, głównie wielopostaciowe osutki świetlne (polymorphous light eruption, PMLE) oraz pokrzywkę słoneczną (solar urticaria). Są to schorzenia o odmiennej patofizjologii, manifestacji klinicznej oraz częstości występowania, ale łączy je nadwrażliwość na promieniowanie ultrafioletowe lub widzialne.12

Wielopostaciowe osutki świetlne (PMLE)

PMLE jest najczęstszą fotodermatoza/” title=”idiopatyczna fotodermatoza” class=”to-tag” data-termid=”83652″>idiopatyczną fotodermatozą, potocznie nazywaną „alergią słoneczną”. Choroba charakteryzuje się swędzącą wysypką na obszarach eksponowanych na słońce, pojawiającą się w ciągu kilku godzin do kilku dni po ekspozycji na promieniowanie UV i utrzymującą się przez kilka dni.1

Częstość występowania PMLE na świecie jest zróżnicowana i wykazuje zależność od szerokości geograficznej:

  • 10-20% populacji w Stanach Zjednoczonych i Europie Zachodniej1
  • Najniższa częstość w Chinach – 0,65%2
  • Najwyższa częstość w Irlandii – 21,4%3
  • W niektórych regionach może dotykać nawet 20% populacji4

Należy podkreślić, że dane dotyczące częstości występowania PMLE mogą być zaniżone, ponieważ wielu pacjentów nie szuka pomocy medycznej.5

Epidemiologia PMLE charakteryzuje się następującymi cechami:

  • Początek choroby najczęściej w pierwszych trzech dekadach życia, choć może wystąpić zarówno w dzieciństwie, jak i w późnej dorosłości6
  • Przewaga kobiet nad mężczyznami w stosunku 2-3:1 (dane mogą być zawyżone, gdyż kobiety częściej zgłaszają się do lekarza)7
  • Występuje we wszystkich typach skóry, ale znacznie częściej dotyka osoby o jasnej karnacji8
  • Częściej występuje w obszarach o umiarkowanym klimacie9
  • Pierwszy epizod zwykle pojawia się po intensywnej ekspozycji na słońce wiosną lub latem10

Pokrzywka słoneczna

Pokrzywka słoneczna (solar urticaria) jest rzadkim typem pokrzywki, klasyfikowanym jako przewlekła pokrzywka indukowalna oraz idiopatyczna dermatoza.1

Częstość występowania pokrzywki słonecznej:

  • Stanowi mniej niż 0,5% wszystkich przypadków pokrzywki123
  • Stanowi około 7% wszystkich fotodermatoz456
  • Tylko około 4% pacjentów z zaburzeniami fotowrażliwości w Stanach Zjednoczonych ma rozpoznaną pokrzywkę słoneczną78
  • Na świecie odsetek ten jest nieco wyższy i wynosi 5,3%910

Od pierwszego udokumentowanego przypadku w Japonii w 1916 roku, zarejestrowano ponad sto przypadków tej choroby na świecie.1112 Największa dotychczas opublikowana seria przypadków obejmowała 224 pacjentów z Hiszpanii.13 Na świecie odnotowano około 650 przypadków pokrzywki słonecznej, chociaż częściej obserwuje się ją u osób o białej skórze.14

Charakterystyka demograficzna pokrzywki słonecznej:

  • Średni wiek zachorowania wynosi około 35-38 lat (zakres 3-73 lata)151617
  • Opisywano przypadki występowania zarówno u noworodków, jak i u osób w podeszłym wieku181920
  • Występuje częściej u kobiet212223
  • Zgłaszana we wszystkich typach skóry i grupach etnicznych na całym świecie2425

Czynniki ryzyka i współistniejące choroby

Dla pokrzywki słonecznej zidentyfikowano następujące czynniki ryzyka i choroby współistniejące:

Dla PMLE najważniejsze czynniki ryzyka to:

  • Płeć żeńska12
  • Jasna karnacja34
  • Mieszkanie w regionach o wyraźnie zaznaczonych porach roku, szczególnie w klimacie północnym5

Związek z ekspozycją na słońce

Badania epidemiologiczne wskazują na ścisły związek między ekspozycją na słońce a rozwojem zarówno łagodnych zmian skórnych (znamiona melanocytowe, potocznie nazywane pieprzykami), jak i czerniaka.1

Od czasu pierwszych badań przeprowadzono ponad 30 badań kliniczno-kontrolnych, które analizowały rolę ekspozycji na słońce w rozwoju czerniaka, dostarczając istotnych dowodów wskazujących na światło słoneczne jako główną środowiskową przyczynę czerniaka u osób o białej skórze.2

Liczne badania kliniczno-kontrolne wykazały, że liczba znamion melanocytowych jest najsilniejszym fenotypowym czynnikiem ryzyka czerniaka.3 Istnieje wiele obserwacji epidemiologicznych łączących promieniowanie UV ze słońca z rozwojem nabytych znamion melanocytowych.4

Nadzór i monitorowanie alergii słonecznych

Nadzór nad alergią słoneczną jest ograniczony z kilku powodów:

  • Brak systematycznego zbierania danych na poziomie populacyjnym1
  • Wielu pacjentów nie zgłasza się do lekarza2
  • Trudności diagnostyczne i możliwość mylenia z innymi chorobami swędzącymi3

W przypadku pokrzywki słonecznej wieloośrodkowe badanie retrospektywne w Hiszpanii nie wykazało wzrostu rocznej zapadalności na tę chorobę.1 W diagnostyce pokrzywki słonecznej istotne znaczenie mają specjalistyczne jednostki fotobiologiczne, które mogą przeprowadzać testy prowokacyjne.2

Interesującym odkryciem było, że w 75,9% przypadków objawy kliniczne pokrzywki słonecznej ograniczały się do obszarów eksponowanych na słońce.3 Najczęściej implifikowanym spektrum światła było wyłącznie światło widzialne (31,7%), a w 21% przypadków pokrzywkę słoneczną można było wywołać tylko światłem naturalnym.4

Całkowite ustąpienie objawów obserwowano najczęściej u pacjentów z pokrzywką słoneczną wywoływaną wyłącznie przez światło widzialne lub naturalne, z istotną statystycznie różnicą w porównaniu z innymi długościami fal.5

Skrajne przypadki fotowrażliwości

Na szczególną uwagę zasługuje skóra barwnikowa (xeroderma pigmentosum) – rzadkie zaburzenie genetyczne, które stanowi skrajny przykład fotowrażliwości:

  • Szacuje się, że dotyka około 1 na 1 milion osób w Stanach Zjednoczonych i Europie1
  • Jest częstsze w Japonii, Afryce Północnej i na Bliskim Wschodzie2
  • Osoby z xeroderma pigmentosum mają 10 000 razy większe ryzyko rozwoju nieczerniakowych nowotworów skóry i do 2000 razy większe ryzyko czerniaka w porównaniu z osobami bez tego schorzenia3
  • Bez ochrony przed słońcem i innymi źródłami promieniowania UV, większość osób z xeroderma pigmentosum rozwija liczne nowotwory skóry w ciągu życia4

Wnioski epidemiologiczne

Podsumowując dane epidemiologiczne dotyczące alergii słonecznej:

  • PMLE jest najczęstszą postacią alergii słonecznej, dotykającą 10-20% populacji w Europie Zachodniej i USA, z wyraźnymi różnicami geograficznymi (0,65-21,4%)12
  • Pokrzywka słoneczna jest znacznie rzadsza, stanowiąc mniej niż 0,5% wszystkich przypadków pokrzywki i około 7% fotodermatoz34
  • Obie choroby częściej występują u kobiet i osób o jasnej karnacji567
  • W przypadku pokrzywki słonecznej nie zaobserwowano trendu wzrostowego w rocznej zapadalności8
  • Fotowrażliwość może dotykać osoby obu płci, w każdym wieku i każdej grupy etnicznej, chociaż różne typy fotowrażliwości mogą występować z różną częstością w różnych okresach życia9

Monitoring i nadzór nad chorobami fotowrażliwymi pozostaje wyzwaniem ze względu na brak systematycznego zbierania danych oraz fakt, że wielu pacjentów nie zgłasza się do lekarza. Diagnostyka alergii słonecznej powinna być prowadzona przez specjalistów z doświadczeniem w fotobiologii, co umożliwia właściwe rozpoznanie i leczenie tych schorzeń.1011

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Polymorphous light eruption – UpToDate
    https://www.uptodate.com/contents/polymorphous-light-eruption/print
    Polymorphous light eruption (PMLE) is the most common idiopathic photodermatosis; it is sometimes called „sun poisoning” or „sun allergy.” PMLE usually presents as a pruritic rash in sun-exposed areas hours to days after ultraviolet (UV) light exposure and persists for several days before subsiding. […] PMLE occurs more frequently in temperate areas. Several studies have indicated that the prevalence of PMLE is directly related to latitude, ranging from approximately 1 percent in China to over 20 percent in some northern European countries. However, within Europe, a latitude gradient has not been shown to occur.
  • #1 Polymorphous Light Eruption: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1119686-overview
    PMLE affects about 10-20% of the population in the United States and Western Europe. […] Given that many patients do not seek medical attention, this figure is likely to be an underestimate. […] A systematic review of population-based studies in the English literature found that the prevalence of PMLE ranged from a low of 0.65% (in China) to a high or 21.4% (in Ireland). […] PMLE usually has its onset in the first three decades of life, though onset may also occur during childhood and late adulthood. […] PMLE has been reported to affect females two to three times more often than males; however, these figures may be skewed because females are more likely to seek medical attention than males. […] PMLE affects all racial skin types. […] PMLE has been reported to be significantly more common in light-skinned individuals than in dark-skinned individuals.
  • #1 Solar Urticaria: Epidemiology and Clinical Phenotypes in a Spanish Series of 224 Patients | Actas Dermo-Sifiliográficas
    https://www.actasdermo.org/en-solar-urticaria-epidemiology-clinical-phenotypes-articulo-S1578219016303304
    Solar urticaria is a chronic inducible urticaria also classified as an idiopathic dermatosis. The objective of this paper is to define the phenotypic characteristics of solar urticaria and to evaluate its incidence. […] This was a retrospective multicenter study in which data were gathered on the epidemiology and clinical, photobiologic, laboratory, and therapeutic characteristics of solar urticaria. […] A total of 224 patients (141 women and 83 men) were included from 9 photobiology units. […] The mean age of the patients was 37.9 years (range, 3-73 years). […] A history of atopy was detected in 26.7%, and the most common presentation was allergic rhinitis (16.5%). […] Clinical signs were limited to sun-exposed areas in 75.9% of patients. […] The light spectrum most commonly implicated was visible light only (31.7%), and in 21% of cases it was only possible to trigger solar urticaria with natural light.
  • #1 Solar Urticaria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441986/
    Solar urticaria is an uncommon type of urticaria. It accounts for less than 0.5% of all urticaria cases and 7% of all photodermatoses. The disease usually begins in young adulthood (median age 35 years), but cases of onset in neonates or elderly persons have been reported. There is a female predominance but no ethnic difference. In the largest series of patients, a history of atopy is noticed in less than 30% of cases. The association of solar urticaria with other types of chronic urticaria may be seen in up to 16% of patients.[6][7] […] Solar urticaria is an enigmatic disorder that is not well understood. While the diagnosis is simple, its management is difficult. The condition is often encountered by the primary care provider, nurse practitioner, dermatologist, and internist. However, because the condition can be difficult to distinguish from other itching disorders, a referral to a dermatologist is recommended. […] Overall, the prognosis for patients with severe urticaria is poor. Many patients are restricted indoors and lead a poor quality of life.
  • #1 Sun exposure and the epidemiology of melanoma and melanocytic nevi (Moles)
    https://researchonline.jcu.edu.au/1633/
    Epidemiological studies suggest that sun exposure is a common etiologic factor for both melanocytic nevi (benign tumors of the pigment producing cells in the skin; better known as moles) and melanoma (Armstrong and English 1992). […] Since then, more than 30 case-control studies have examined the role of sun exposure in the development of melanoma (Elwood and Gallagher 1994) resulting in substantial evidence implicating sunlight as the principal environmental cause of melanoma in white-skinned populations (IARC 1992). […] Numerous case-control studies have shown that the number of melanocytic nevi is the strongest phenotypic risk factor for melanoma (Armstrong and English 1992). […] However, there are many epidemiologic observations linking solar UVR to the development of acquired melanocytic nevi.
  • #1 Solar Urticaria: Epidemiology and Clinical Phenotypes in a Spanish Series of 224 Patients | Actas Dermo-Sifiliográficas
    https://www.actasdermo.org/en-solar-urticaria-epidemiology-clinical-phenotypes-articulo-S1578219016303304
    The treatments most widely used by photobiology experts were oral antihistamines (65.46%), followed by different forms of phototherapy (34%). […] Complete resolution was observed most often in patients with solar urticaria triggered exclusively by visible or natural light, with statistically significant differences with respect to other wavelengths (P.05). […] No increase in the annual incidence of solar urticaria was observed. […] We have presented the largest series of solar urticaria published to date. […] The epidemiological, clinical, and photobiologic findings confirm previously reported data, although there was a particularly high rate of negative phototests in our series. […] Reactivity exclusively to visible or natural light was associated with a higher probability of resolution. […] No increasing trend was observed in the annual incidence.
  • #1 Xeroderma pigmentosum: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/xeroderma-pigmentosum/
    Xeroderma pigmentosum is a rare disorder; it is estimated to affect about 1 in 1 million people in the United States and Europe. The condition is more common in Japan, North Africa, and the Middle East. […] People with xeroderma pigmentosum are 10,000 times more likely to develop non-melanoma skin cancer and up to 2,000 times more likely to develop melanoma skin cancer compared to individuals without this condition. […] Without protection from the sun and other sources of UVR, most people with xeroderma pigmentosum develop multiple skin cancers during their lifetime. […] Studies suggest that people with xeroderma pigmentosum may also have an increased risk of some internal cancers, including brain tumors, thyroid cancer, and blood cancers. […] The major features of xeroderma pigmentosum result from a buildup of unrepaired DNA damage. […] Researchers suspect that other factors damage DNA in nerve cells. It is unclear why some people with xeroderma pigmentosum develop neurological abnormalities and others do not.
  • #2 Ask an expert: Can I become allergic to the sun? | VCH Research Institute
    https://www.vchri.ca/stories/2018/08/12/ask-expert-can-i-become-allergic-sun
    Yes, people can develop an allergic reaction to the sun called polymorphic light eruption (PLE). This causes a delayed skin reaction after exposure to ultraviolet (UV) radiation, typically from the sun. […] Sun allergy is a common condition that affects up to 10 per cent of the population. Women and people with fair skin are more prone to PLE, which is most prevalent in regions with distinct seasons, such as northern climates. […] The best defense against PLE is to block as much sunlight from reaching the skin’s surface as possible to prevent the return of symptoms.
  • #2 Polymorphous Light Eruption: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1119686-overview
    PMLE affects about 10-20% of the population in the United States and Western Europe. […] Given that many patients do not seek medical attention, this figure is likely to be an underestimate. […] A systematic review of population-based studies in the English literature found that the prevalence of PMLE ranged from a low of 0.65% (in China) to a high or 21.4% (in Ireland). […] PMLE usually has its onset in the first three decades of life, though onset may also occur during childhood and late adulthood. […] PMLE has been reported to affect females two to three times more often than males; however, these figures may be skewed because females are more likely to seek medical attention than males. […] PMLE affects all racial skin types. […] PMLE has been reported to be significantly more common in light-skinned individuals than in dark-skinned individuals.
  • #2 Solar Urticaria: Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1050485-overview
    Solar urticaria accounts for only 4% of patients in the United States with photosensitive disorders and, worldwide, for 0.5% of all urticaria cases and 7% of photodermatoses. […] The disorder has been reported in all skin types and ethnic groups, worldwide, with a slight female predilection. Regarding age, the disease has a wide range of onset (10-70 years). Typical onset is 20-40 years. […] The mean age of onset for solar urticaria is 35 years, but it has been reported to occur in infancy. […] Solar urticaria is associated with other types of chronic urticaria in up to 16% of patients.
  • #2 Solar Urticaria: Epidemiology and Clinical Phenotypes in a Spanish Series of 224 Patients | Actas Dermo-Sifiliográficas
    https://www.actasdermo.org/en-solar-urticaria-epidemiology-clinical-phenotypes-articulo-S1578219016303304
    Solar urticaria is a chronic inducible urticaria also classified as an idiopathic dermatosis. The objective of this paper is to define the phenotypic characteristics of solar urticaria and to evaluate its incidence. […] This was a retrospective multicenter study in which data were gathered on the epidemiology and clinical, photobiologic, laboratory, and therapeutic characteristics of solar urticaria. […] A total of 224 patients (141 women and 83 men) were included from 9 photobiology units. […] The mean age of the patients was 37.9 years (range, 3-73 years). […] A history of atopy was detected in 26.7%, and the most common presentation was allergic rhinitis (16.5%). […] Clinical signs were limited to sun-exposed areas in 75.9% of patients. […] The light spectrum most commonly implicated was visible light only (31.7%), and in 21% of cases it was only possible to trigger solar urticaria with natural light.
  • #2 Sun exposure and the epidemiology of melanoma and melanocytic nevi (Moles)
    https://researchonline.jcu.edu.au/1633/
    Epidemiological studies suggest that sun exposure is a common etiologic factor for both melanocytic nevi (benign tumors of the pigment producing cells in the skin; better known as moles) and melanoma (Armstrong and English 1992). […] Since then, more than 30 case-control studies have examined the role of sun exposure in the development of melanoma (Elwood and Gallagher 1994) resulting in substantial evidence implicating sunlight as the principal environmental cause of melanoma in white-skinned populations (IARC 1992). […] Numerous case-control studies have shown that the number of melanocytic nevi is the strongest phenotypic risk factor for melanoma (Armstrong and English 1992). […] However, there are many epidemiologic observations linking solar UVR to the development of acquired melanocytic nevi.
  • #2 Xeroderma pigmentosum: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/xeroderma-pigmentosum/
    Xeroderma pigmentosum is a rare disorder; it is estimated to affect about 1 in 1 million people in the United States and Europe. The condition is more common in Japan, North Africa, and the Middle East. […] People with xeroderma pigmentosum are 10,000 times more likely to develop non-melanoma skin cancer and up to 2,000 times more likely to develop melanoma skin cancer compared to individuals without this condition. […] Without protection from the sun and other sources of UVR, most people with xeroderma pigmentosum develop multiple skin cancers during their lifetime. […] Studies suggest that people with xeroderma pigmentosum may also have an increased risk of some internal cancers, including brain tumors, thyroid cancer, and blood cancers. […] The major features of xeroderma pigmentosum result from a buildup of unrepaired DNA damage. […] Researchers suspect that other factors damage DNA in nerve cells. It is unclear why some people with xeroderma pigmentosum develop neurological abnormalities and others do not.
  • #2 Polymorphous light eruption – UpToDate
    https://www.uptodate.com/contents/polymorphous-light-eruption/print
    Polymorphous light eruption (PMLE) is the most common idiopathic photodermatosis; it is sometimes called „sun poisoning” or „sun allergy.” PMLE usually presents as a pruritic rash in sun-exposed areas hours to days after ultraviolet (UV) light exposure and persists for several days before subsiding. […] PMLE occurs more frequently in temperate areas. Several studies have indicated that the prevalence of PMLE is directly related to latitude, ranging from approximately 1 percent in China to over 20 percent in some northern European countries. However, within Europe, a latitude gradient has not been shown to occur.
  • #3 Polymorphous Light Eruption: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1119686-overview
    PMLE affects about 10-20% of the population in the United States and Western Europe. […] Given that many patients do not seek medical attention, this figure is likely to be an underestimate. […] A systematic review of population-based studies in the English literature found that the prevalence of PMLE ranged from a low of 0.65% (in China) to a high or 21.4% (in Ireland). […] PMLE usually has its onset in the first three decades of life, though onset may also occur during childhood and late adulthood. […] PMLE has been reported to affect females two to three times more often than males; however, these figures may be skewed because females are more likely to seek medical attention than males. […] PMLE affects all racial skin types. […] PMLE has been reported to be significantly more common in light-skinned individuals than in dark-skinned individuals.
  • #3 Solar urticaria – Wikipedia
    https://wikipedia.org/wiki/Solar_urticaria
    In the United States, only about 4% of patients with photosensitive disorders are reported to have been diagnosed with solar urticaria. […] Internationally, the number is slightly larger at 5.3%. […] Solar urticaria accounts for less than one percent of the many documented urticaria cases. […] To put that into a better perspective, since its first documented case in Japan in 1916, over one hundred other instances of the disease have been reported.
  • #3 Solar Urticaria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441986/
    Solar urticaria is an uncommon type of urticaria. It accounts for less than 0.5% of all urticaria cases and 7% of all photodermatoses. The disease usually begins in young adulthood (median age 35 years), but cases of onset in neonates or elderly persons have been reported. There is a female predominance but no ethnic difference. In the largest series of patients, a history of atopy is noticed in less than 30% of cases. The association of solar urticaria with other types of chronic urticaria may be seen in up to 16% of patients.[6][7] […] Solar urticaria is an enigmatic disorder that is not well understood. While the diagnosis is simple, its management is difficult. The condition is often encountered by the primary care provider, nurse practitioner, dermatologist, and internist. However, because the condition can be difficult to distinguish from other itching disorders, a referral to a dermatologist is recommended. […] Overall, the prognosis for patients with severe urticaria is poor. Many patients are restricted indoors and lead a poor quality of life.
  • #3 Sun exposure and the epidemiology of melanoma and melanocytic nevi (Moles)
    https://researchonline.jcu.edu.au/1633/
    Epidemiological studies suggest that sun exposure is a common etiologic factor for both melanocytic nevi (benign tumors of the pigment producing cells in the skin; better known as moles) and melanoma (Armstrong and English 1992). […] Since then, more than 30 case-control studies have examined the role of sun exposure in the development of melanoma (Elwood and Gallagher 1994) resulting in substantial evidence implicating sunlight as the principal environmental cause of melanoma in white-skinned populations (IARC 1992). […] Numerous case-control studies have shown that the number of melanocytic nevi is the strongest phenotypic risk factor for melanoma (Armstrong and English 1992). […] However, there are many epidemiologic observations linking solar UVR to the development of acquired melanocytic nevi.
  • #3 Solar Urticaria: Epidemiology and Clinical Phenotypes in a Spanish Series of 224 Patients | Actas Dermo-Sifiliográficas
    https://www.actasdermo.org/en-solar-urticaria-epidemiology-clinical-phenotypes-articulo-S1578219016303304
    Solar urticaria is a chronic inducible urticaria also classified as an idiopathic dermatosis. The objective of this paper is to define the phenotypic characteristics of solar urticaria and to evaluate its incidence. […] This was a retrospective multicenter study in which data were gathered on the epidemiology and clinical, photobiologic, laboratory, and therapeutic characteristics of solar urticaria. […] A total of 224 patients (141 women and 83 men) were included from 9 photobiology units. […] The mean age of the patients was 37.9 years (range, 3-73 years). […] A history of atopy was detected in 26.7%, and the most common presentation was allergic rhinitis (16.5%). […] Clinical signs were limited to sun-exposed areas in 75.9% of patients. […] The light spectrum most commonly implicated was visible light only (31.7%), and in 21% of cases it was only possible to trigger solar urticaria with natural light.
  • #3 Xeroderma pigmentosum: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/xeroderma-pigmentosum/
    Xeroderma pigmentosum is a rare disorder; it is estimated to affect about 1 in 1 million people in the United States and Europe. The condition is more common in Japan, North Africa, and the Middle East. […] People with xeroderma pigmentosum are 10,000 times more likely to develop non-melanoma skin cancer and up to 2,000 times more likely to develop melanoma skin cancer compared to individuals without this condition. […] Without protection from the sun and other sources of UVR, most people with xeroderma pigmentosum develop multiple skin cancers during their lifetime. […] Studies suggest that people with xeroderma pigmentosum may also have an increased risk of some internal cancers, including brain tumors, thyroid cancer, and blood cancers. […] The major features of xeroderma pigmentosum result from a buildup of unrepaired DNA damage. […] Researchers suspect that other factors damage DNA in nerve cells. It is unclear why some people with xeroderma pigmentosum develop neurological abnormalities and others do not.
  • #4 Photodermatitis | 5-Minute Clinical Consult
    https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/116454/all/Photodermatitis
    PLE usually occurs after the first intense exposure to the sun in the spring or summer. […] May be as high as 20% in some areas.
  • #4 Solar Urticaria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441986/
    Solar urticaria is an uncommon type of urticaria. It accounts for less than 0.5% of all urticaria cases and 7% of all photodermatoses. The disease usually begins in young adulthood (median age 35 years), but cases of onset in neonates or elderly persons have been reported. There is a female predominance but no ethnic difference. In the largest series of patients, a history of atopy is noticed in less than 30% of cases. The association of solar urticaria with other types of chronic urticaria may be seen in up to 16% of patients.[6][7] […] Solar urticaria is an enigmatic disorder that is not well understood. While the diagnosis is simple, its management is difficult. The condition is often encountered by the primary care provider, nurse practitioner, dermatologist, and internist. However, because the condition can be difficult to distinguish from other itching disorders, a referral to a dermatologist is recommended. […] Overall, the prognosis for patients with severe urticaria is poor. Many patients are restricted indoors and lead a poor quality of life.
  • #4 Solar Urticaria: Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1050485-overview
    Solar urticaria accounts for only 4% of patients in the United States with photosensitive disorders and, worldwide, for 0.5% of all urticaria cases and 7% of photodermatoses. […] The disorder has been reported in all skin types and ethnic groups, worldwide, with a slight female predilection. Regarding age, the disease has a wide range of onset (10-70 years). Typical onset is 20-40 years. […] The mean age of onset for solar urticaria is 35 years, but it has been reported to occur in infancy. […] Solar urticaria is associated with other types of chronic urticaria in up to 16% of patients.
  • #4 Ask an expert: Can I become allergic to the sun? | VCH Research Institute
    https://www.vchri.ca/stories/2018/08/12/ask-expert-can-i-become-allergic-sun
    Yes, people can develop an allergic reaction to the sun called polymorphic light eruption (PLE). This causes a delayed skin reaction after exposure to ultraviolet (UV) radiation, typically from the sun. […] Sun allergy is a common condition that affects up to 10 per cent of the population. Women and people with fair skin are more prone to PLE, which is most prevalent in regions with distinct seasons, such as northern climates. […] The best defense against PLE is to block as much sunlight from reaching the skin’s surface as possible to prevent the return of symptoms.
  • #4 Sun exposure and the epidemiology of melanoma and melanocytic nevi (Moles)
    https://researchonline.jcu.edu.au/1633/
    Epidemiological studies suggest that sun exposure is a common etiologic factor for both melanocytic nevi (benign tumors of the pigment producing cells in the skin; better known as moles) and melanoma (Armstrong and English 1992). […] Since then, more than 30 case-control studies have examined the role of sun exposure in the development of melanoma (Elwood and Gallagher 1994) resulting in substantial evidence implicating sunlight as the principal environmental cause of melanoma in white-skinned populations (IARC 1992). […] Numerous case-control studies have shown that the number of melanocytic nevi is the strongest phenotypic risk factor for melanoma (Armstrong and English 1992). […] However, there are many epidemiologic observations linking solar UVR to the development of acquired melanocytic nevi.
  • #4 Solar Urticaria: Epidemiology and Clinical Phenotypes in a Spanish Series of 224 Patients | Actas Dermo-Sifiliográficas
    https://www.actasdermo.org/en-solar-urticaria-epidemiology-clinical-phenotypes-articulo-S1578219016303304
    Solar urticaria is a chronic inducible urticaria also classified as an idiopathic dermatosis. The objective of this paper is to define the phenotypic characteristics of solar urticaria and to evaluate its incidence. […] This was a retrospective multicenter study in which data were gathered on the epidemiology and clinical, photobiologic, laboratory, and therapeutic characteristics of solar urticaria. […] A total of 224 patients (141 women and 83 men) were included from 9 photobiology units. […] The mean age of the patients was 37.9 years (range, 3-73 years). […] A history of atopy was detected in 26.7%, and the most common presentation was allergic rhinitis (16.5%). […] Clinical signs were limited to sun-exposed areas in 75.9% of patients. […] The light spectrum most commonly implicated was visible light only (31.7%), and in 21% of cases it was only possible to trigger solar urticaria with natural light.
  • #4 Xeroderma pigmentosum: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/xeroderma-pigmentosum/
    Xeroderma pigmentosum is a rare disorder; it is estimated to affect about 1 in 1 million people in the United States and Europe. The condition is more common in Japan, North Africa, and the Middle East. […] People with xeroderma pigmentosum are 10,000 times more likely to develop non-melanoma skin cancer and up to 2,000 times more likely to develop melanoma skin cancer compared to individuals without this condition. […] Without protection from the sun and other sources of UVR, most people with xeroderma pigmentosum develop multiple skin cancers during their lifetime. […] Studies suggest that people with xeroderma pigmentosum may also have an increased risk of some internal cancers, including brain tumors, thyroid cancer, and blood cancers. […] The major features of xeroderma pigmentosum result from a buildup of unrepaired DNA damage. […] Researchers suspect that other factors damage DNA in nerve cells. It is unclear why some people with xeroderma pigmentosum develop neurological abnormalities and others do not.
  • #5 Polymorphous Light Eruption: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1119686-overview
    PMLE affects about 10-20% of the population in the United States and Western Europe. […] Given that many patients do not seek medical attention, this figure is likely to be an underestimate. […] A systematic review of population-based studies in the English literature found that the prevalence of PMLE ranged from a low of 0.65% (in China) to a high or 21.4% (in Ireland). […] PMLE usually has its onset in the first three decades of life, though onset may also occur during childhood and late adulthood. […] PMLE has been reported to affect females two to three times more often than males; however, these figures may be skewed because females are more likely to seek medical attention than males. […] PMLE affects all racial skin types. […] PMLE has been reported to be significantly more common in light-skinned individuals than in dark-skinned individuals.
  • #5 Solar Urticaria: Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1050485-overview
    Solar urticaria accounts for only 4% of patients in the United States with photosensitive disorders and, worldwide, for 0.5% of all urticaria cases and 7% of photodermatoses. […] The disorder has been reported in all skin types and ethnic groups, worldwide, with a slight female predilection. Regarding age, the disease has a wide range of onset (10-70 years). Typical onset is 20-40 years. […] The mean age of onset for solar urticaria is 35 years, but it has been reported to occur in infancy. […] Solar urticaria is associated with other types of chronic urticaria in up to 16% of patients.
  • #5 What Is Solar Urticaria?
    https://www.icliniq.com/articles/skin-care/solar-urticaria
    Solar urticaria is rare and can occur in people of any race. Only 650 cases of solar urticaria have been reported worldwide, although it is more commonly observed in people with white skin. It accounts for approximately 7 % of all photodermatoses and 0.5 % of all urticaria cases. The condition is usually present in a person’s mid-thirties. However, some rare cases in neonates and early childhood have also been reported. It has a female predominance. In about 16 % of the patients, solar urticaria was associated with other skin conditions like chronic allergies. […] Solar urticaria is considered to be caused by hypersensitivity type-1 reactions. In case of severe attacks, it may lead to episodes of syncope, bronchospasm, and life-threatening anaphylaxis.
  • #5 Ask an expert: Can I become allergic to the sun? | VCH Research Institute
    https://www.vchri.ca/stories/2018/08/12/ask-expert-can-i-become-allergic-sun
    Yes, people can develop an allergic reaction to the sun called polymorphic light eruption (PLE). This causes a delayed skin reaction after exposure to ultraviolet (UV) radiation, typically from the sun. […] Sun allergy is a common condition that affects up to 10 per cent of the population. Women and people with fair skin are more prone to PLE, which is most prevalent in regions with distinct seasons, such as northern climates. […] The best defense against PLE is to block as much sunlight from reaching the skin’s surface as possible to prevent the return of symptoms.
  • #5 Solar Urticaria: Epidemiology and Clinical Phenotypes in a Spanish Series of 224 Patients | Actas Dermo-Sifiliográficas
    https://www.actasdermo.org/en-solar-urticaria-epidemiology-clinical-phenotypes-articulo-S1578219016303304
    The treatments most widely used by photobiology experts were oral antihistamines (65.46%), followed by different forms of phototherapy (34%). […] Complete resolution was observed most often in patients with solar urticaria triggered exclusively by visible or natural light, with statistically significant differences with respect to other wavelengths (P.05). […] No increase in the annual incidence of solar urticaria was observed. […] We have presented the largest series of solar urticaria published to date. […] The epidemiological, clinical, and photobiologic findings confirm previously reported data, although there was a particularly high rate of negative phototests in our series. […] Reactivity exclusively to visible or natural light was associated with a higher probability of resolution. […] No increasing trend was observed in the annual incidence.
  • #6 Polymorphous Light Eruption: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1119686-overview
    PMLE affects about 10-20% of the population in the United States and Western Europe. […] Given that many patients do not seek medical attention, this figure is likely to be an underestimate. […] A systematic review of population-based studies in the English literature found that the prevalence of PMLE ranged from a low of 0.65% (in China) to a high or 21.4% (in Ireland). […] PMLE usually has its onset in the first three decades of life, though onset may also occur during childhood and late adulthood. […] PMLE has been reported to affect females two to three times more often than males; however, these figures may be skewed because females are more likely to seek medical attention than males. […] PMLE affects all racial skin types. […] PMLE has been reported to be significantly more common in light-skinned individuals than in dark-skinned individuals.
  • #6 What Is Solar Urticaria?
    https://www.icliniq.com/articles/skin-care/solar-urticaria
    Solar urticaria is rare and can occur in people of any race. Only 650 cases of solar urticaria have been reported worldwide, although it is more commonly observed in people with white skin. It accounts for approximately 7 % of all photodermatoses and 0.5 % of all urticaria cases. The condition is usually present in a person’s mid-thirties. However, some rare cases in neonates and early childhood have also been reported. It has a female predominance. In about 16 % of the patients, solar urticaria was associated with other skin conditions like chronic allergies. […] Solar urticaria is considered to be caused by hypersensitivity type-1 reactions. In case of severe attacks, it may lead to episodes of syncope, bronchospasm, and life-threatening anaphylaxis.
  • #6 Solar Urticaria: Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1050485-overview
    Solar urticaria accounts for only 4% of patients in the United States with photosensitive disorders and, worldwide, for 0.5% of all urticaria cases and 7% of photodermatoses. […] The disorder has been reported in all skin types and ethnic groups, worldwide, with a slight female predilection. Regarding age, the disease has a wide range of onset (10-70 years). Typical onset is 20-40 years. […] The mean age of onset for solar urticaria is 35 years, but it has been reported to occur in infancy. […] Solar urticaria is associated with other types of chronic urticaria in up to 16% of patients.
  • #7 Polymorphous Light Eruption: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1119686-overview
    PMLE affects about 10-20% of the population in the United States and Western Europe. […] Given that many patients do not seek medical attention, this figure is likely to be an underestimate. […] A systematic review of population-based studies in the English literature found that the prevalence of PMLE ranged from a low of 0.65% (in China) to a high or 21.4% (in Ireland). […] PMLE usually has its onset in the first three decades of life, though onset may also occur during childhood and late adulthood. […] PMLE has been reported to affect females two to three times more often than males; however, these figures may be skewed because females are more likely to seek medical attention than males. […] PMLE affects all racial skin types. […] PMLE has been reported to be significantly more common in light-skinned individuals than in dark-skinned individuals.
  • #7 Solar Urticaria: Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1050485-overview
    Solar urticaria accounts for only 4% of patients in the United States with photosensitive disorders and, worldwide, for 0.5% of all urticaria cases and 7% of photodermatoses. […] The disorder has been reported in all skin types and ethnic groups, worldwide, with a slight female predilection. Regarding age, the disease has a wide range of onset (10-70 years). Typical onset is 20-40 years. […] The mean age of onset for solar urticaria is 35 years, but it has been reported to occur in infancy. […] Solar urticaria is associated with other types of chronic urticaria in up to 16% of patients.
  • #7 Ask an expert: Can I become allergic to the sun? | VCH Research Institute
    https://www.vchri.ca/stories/2018/08/12/ask-expert-can-i-become-allergic-sun
    Yes, people can develop an allergic reaction to the sun called polymorphic light eruption (PLE). This causes a delayed skin reaction after exposure to ultraviolet (UV) radiation, typically from the sun. […] Sun allergy is a common condition that affects up to 10 per cent of the population. Women and people with fair skin are more prone to PLE, which is most prevalent in regions with distinct seasons, such as northern climates. […] The best defense against PLE is to block as much sunlight from reaching the skin’s surface as possible to prevent the return of symptoms.
  • #8 Polymorphous Light Eruption: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1119686-overview
    PMLE affects about 10-20% of the population in the United States and Western Europe. […] Given that many patients do not seek medical attention, this figure is likely to be an underestimate. […] A systematic review of population-based studies in the English literature found that the prevalence of PMLE ranged from a low of 0.65% (in China) to a high or 21.4% (in Ireland). […] PMLE usually has its onset in the first three decades of life, though onset may also occur during childhood and late adulthood. […] PMLE has been reported to affect females two to three times more often than males; however, these figures may be skewed because females are more likely to seek medical attention than males. […] PMLE affects all racial skin types. […] PMLE has been reported to be significantly more common in light-skinned individuals than in dark-skinned individuals.
  • #8 Solar urticaria – Wikipedia
    https://wikipedia.org/wiki/Solar_urticaria
    In the United States, only about 4% of patients with photosensitive disorders are reported to have been diagnosed with solar urticaria. […] Internationally, the number is slightly larger at 5.3%. […] Solar urticaria accounts for less than one percent of the many documented urticaria cases. […] To put that into a better perspective, since its first documented case in Japan in 1916, over one hundred other instances of the disease have been reported.
  • #8 Solar Urticaria: Epidemiology and Clinical Phenotypes in a Spanish Series of 224 Patients | Actas Dermo-Sifiliográficas
    https://www.actasdermo.org/en-solar-urticaria-epidemiology-clinical-phenotypes-articulo-S1578219016303304
    The treatments most widely used by photobiology experts were oral antihistamines (65.46%), followed by different forms of phototherapy (34%). […] Complete resolution was observed most often in patients with solar urticaria triggered exclusively by visible or natural light, with statistically significant differences with respect to other wavelengths (P.05). […] No increase in the annual incidence of solar urticaria was observed. […] We have presented the largest series of solar urticaria published to date. […] The epidemiological, clinical, and photobiologic findings confirm previously reported data, although there was a particularly high rate of negative phototests in our series. […] Reactivity exclusively to visible or natural light was associated with a higher probability of resolution. […] No increasing trend was observed in the annual incidence.
  • #9 Polymorphous light eruption – UpToDate
    https://www.uptodate.com/contents/polymorphous-light-eruption/print
    Polymorphous light eruption (PMLE) is the most common idiopathic photodermatosis; it is sometimes called „sun poisoning” or „sun allergy.” PMLE usually presents as a pruritic rash in sun-exposed areas hours to days after ultraviolet (UV) light exposure and persists for several days before subsiding. […] PMLE occurs more frequently in temperate areas. Several studies have indicated that the prevalence of PMLE is directly related to latitude, ranging from approximately 1 percent in China to over 20 percent in some northern European countries. However, within Europe, a latitude gradient has not been shown to occur.
  • #9 Solar urticaria – Wikipedia
    https://wikipedia.org/wiki/Solar_urticaria
    In the United States, only about 4% of patients with photosensitive disorders are reported to have been diagnosed with solar urticaria. […] Internationally, the number is slightly larger at 5.3%. […] Solar urticaria accounts for less than one percent of the many documented urticaria cases. […] To put that into a better perspective, since its first documented case in Japan in 1916, over one hundred other instances of the disease have been reported.
  • #9 Photosensitivity – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK431072/
    Photosensitivity may be observed in both males and females at all ages and in all ethnic groups. Different types of photosensitivity may be prevalent at different times of life. Genetic and environmental factors intervene in the occurrence of photosensitivity.
  • #10 Photodermatitis | 5-Minute Clinical Consult
    https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/116454/all/Photodermatitis
    PLE usually occurs after the first intense exposure to the sun in the spring or summer. […] May be as high as 20% in some areas.
  • #10 Solar urticaria – Wikipedia
    https://en.wikipedia.org/wiki/Solar_urticaria
    In the United States, only about 4% of patients with photosensitive disorders are reported to have been diagnosed with solar urticaria. Internationally, the number is slightly larger at 5.3%. […] Solar urticaria accounts for less than one percent of the many documented urticaria cases. […] Since its first documented case in Japan in 1916, over one hundred other instances of the disease have been reported.
  • #10 Solar Urticaria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441986/
    Solar urticaria is an uncommon type of urticaria. It accounts for less than 0.5% of all urticaria cases and 7% of all photodermatoses. The disease usually begins in young adulthood (median age 35 years), but cases of onset in neonates or elderly persons have been reported. There is a female predominance but no ethnic difference. In the largest series of patients, a history of atopy is noticed in less than 30% of cases. The association of solar urticaria with other types of chronic urticaria may be seen in up to 16% of patients.[6][7] […] Solar urticaria is an enigmatic disorder that is not well understood. While the diagnosis is simple, its management is difficult. The condition is often encountered by the primary care provider, nurse practitioner, dermatologist, and internist. However, because the condition can be difficult to distinguish from other itching disorders, a referral to a dermatologist is recommended. […] Overall, the prognosis for patients with severe urticaria is poor. Many patients are restricted indoors and lead a poor quality of life.
  • #11 Solar urticaria – Wikipedia
    https://wikipedia.org/wiki/Solar_urticaria
    In the United States, only about 4% of patients with photosensitive disorders are reported to have been diagnosed with solar urticaria. […] Internationally, the number is slightly larger at 5.3%. […] Solar urticaria accounts for less than one percent of the many documented urticaria cases. […] To put that into a better perspective, since its first documented case in Japan in 1916, over one hundred other instances of the disease have been reported.
  • #11 Polymorphous Light Eruption: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/1119686-overview
    PMLE affects about 10-20% of the population in the United States and Western Europe. […] Given that many patients do not seek medical attention, this figure is likely to be an underestimate. […] A systematic review of population-based studies in the English literature found that the prevalence of PMLE ranged from a low of 0.65% (in China) to a high or 21.4% (in Ireland). […] PMLE usually has its onset in the first three decades of life, though onset may also occur during childhood and late adulthood. […] PMLE has been reported to affect females two to three times more often than males; however, these figures may be skewed because females are more likely to seek medical attention than males. […] PMLE affects all racial skin types. […] PMLE has been reported to be significantly more common in light-skinned individuals than in dark-skinned individuals.
  • #12 Solar urticaria – Wikipedia
    https://en.wikipedia.org/wiki/Solar_urticaria
    In the United States, only about 4% of patients with photosensitive disorders are reported to have been diagnosed with solar urticaria. Internationally, the number is slightly larger at 5.3%. […] Solar urticaria accounts for less than one percent of the many documented urticaria cases. […] Since its first documented case in Japan in 1916, over one hundred other instances of the disease have been reported.
  • #13 Solar Urticaria: Epidemiology and Clinical Phenotypes in a Spanish Series of 224 Patients | Actas Dermo-Sifiliográficas
    https://www.actasdermo.org/en-solar-urticaria-epidemiology-clinical-phenotypes-articulo-S1578219016303304
    The treatments most widely used by photobiology experts were oral antihistamines (65.46%), followed by different forms of phototherapy (34%). […] Complete resolution was observed most often in patients with solar urticaria triggered exclusively by visible or natural light, with statistically significant differences with respect to other wavelengths (P.05). […] No increase in the annual incidence of solar urticaria was observed. […] We have presented the largest series of solar urticaria published to date. […] The epidemiological, clinical, and photobiologic findings confirm previously reported data, although there was a particularly high rate of negative phototests in our series. […] Reactivity exclusively to visible or natural light was associated with a higher probability of resolution. […] No increasing trend was observed in the annual incidence.
  • #14 What Is Solar Urticaria?
    https://www.icliniq.com/articles/skin-care/solar-urticaria
    Solar urticaria is rare and can occur in people of any race. Only 650 cases of solar urticaria have been reported worldwide, although it is more commonly observed in people with white skin. It accounts for approximately 7 % of all photodermatoses and 0.5 % of all urticaria cases. The condition is usually present in a person’s mid-thirties. However, some rare cases in neonates and early childhood have also been reported. It has a female predominance. In about 16 % of the patients, solar urticaria was associated with other skin conditions like chronic allergies. […] Solar urticaria is considered to be caused by hypersensitivity type-1 reactions. In case of severe attacks, it may lead to episodes of syncope, bronchospasm, and life-threatening anaphylaxis.
  • #15 Solar Urticaria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441986/
    Solar urticaria is an uncommon type of urticaria. It accounts for less than 0.5% of all urticaria cases and 7% of all photodermatoses. The disease usually begins in young adulthood (median age 35 years), but cases of onset in neonates or elderly persons have been reported. There is a female predominance but no ethnic difference. In the largest series of patients, a history of atopy is noticed in less than 30% of cases. The association of solar urticaria with other types of chronic urticaria may be seen in up to 16% of patients.[6][7] […] Solar urticaria is an enigmatic disorder that is not well understood. While the diagnosis is simple, its management is difficult. The condition is often encountered by the primary care provider, nurse practitioner, dermatologist, and internist. However, because the condition can be difficult to distinguish from other itching disorders, a referral to a dermatologist is recommended. […] Overall, the prognosis for patients with severe urticaria is poor. Many patients are restricted indoors and lead a poor quality of life.
  • #16 Solar Urticaria: Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1050485-overview
    Solar urticaria accounts for only 4% of patients in the United States with photosensitive disorders and, worldwide, for 0.5% of all urticaria cases and 7% of photodermatoses. […] The disorder has been reported in all skin types and ethnic groups, worldwide, with a slight female predilection. Regarding age, the disease has a wide range of onset (10-70 years). Typical onset is 20-40 years. […] The mean age of onset for solar urticaria is 35 years, but it has been reported to occur in infancy. […] Solar urticaria is associated with other types of chronic urticaria in up to 16% of patients.
  • #17 Solar Urticaria: Epidemiology and Clinical Phenotypes in a Spanish Series of 224 Patients | Actas Dermo-Sifiliográficas
    https://www.actasdermo.org/en-solar-urticaria-epidemiology-clinical-phenotypes-articulo-S1578219016303304
    Solar urticaria is a chronic inducible urticaria also classified as an idiopathic dermatosis. The objective of this paper is to define the phenotypic characteristics of solar urticaria and to evaluate its incidence. […] This was a retrospective multicenter study in which data were gathered on the epidemiology and clinical, photobiologic, laboratory, and therapeutic characteristics of solar urticaria. […] A total of 224 patients (141 women and 83 men) were included from 9 photobiology units. […] The mean age of the patients was 37.9 years (range, 3-73 years). […] A history of atopy was detected in 26.7%, and the most common presentation was allergic rhinitis (16.5%). […] Clinical signs were limited to sun-exposed areas in 75.9% of patients. […] The light spectrum most commonly implicated was visible light only (31.7%), and in 21% of cases it was only possible to trigger solar urticaria with natural light.
  • #18 Solar Urticaria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441986/
    Solar urticaria is an uncommon type of urticaria. It accounts for less than 0.5% of all urticaria cases and 7% of all photodermatoses. The disease usually begins in young adulthood (median age 35 years), but cases of onset in neonates or elderly persons have been reported. There is a female predominance but no ethnic difference. In the largest series of patients, a history of atopy is noticed in less than 30% of cases. The association of solar urticaria with other types of chronic urticaria may be seen in up to 16% of patients.[6][7] […] Solar urticaria is an enigmatic disorder that is not well understood. While the diagnosis is simple, its management is difficult. The condition is often encountered by the primary care provider, nurse practitioner, dermatologist, and internist. However, because the condition can be difficult to distinguish from other itching disorders, a referral to a dermatologist is recommended. […] Overall, the prognosis for patients with severe urticaria is poor. Many patients are restricted indoors and lead a poor quality of life.
  • #19 Solar Urticaria: Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1050485-overview
    Solar urticaria accounts for only 4% of patients in the United States with photosensitive disorders and, worldwide, for 0.5% of all urticaria cases and 7% of photodermatoses. […] The disorder has been reported in all skin types and ethnic groups, worldwide, with a slight female predilection. Regarding age, the disease has a wide range of onset (10-70 years). Typical onset is 20-40 years. […] The mean age of onset for solar urticaria is 35 years, but it has been reported to occur in infancy. […] Solar urticaria is associated with other types of chronic urticaria in up to 16% of patients.
  • #20 What Is Solar Urticaria?
    https://www.icliniq.com/articles/skin-care/solar-urticaria
    Solar urticaria is rare and can occur in people of any race. Only 650 cases of solar urticaria have been reported worldwide, although it is more commonly observed in people with white skin. It accounts for approximately 7 % of all photodermatoses and 0.5 % of all urticaria cases. The condition is usually present in a person’s mid-thirties. However, some rare cases in neonates and early childhood have also been reported. It has a female predominance. In about 16 % of the patients, solar urticaria was associated with other skin conditions like chronic allergies. […] Solar urticaria is considered to be caused by hypersensitivity type-1 reactions. In case of severe attacks, it may lead to episodes of syncope, bronchospasm, and life-threatening anaphylaxis.
  • #21 Solar Urticaria – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441986/
    Solar urticaria is an uncommon type of urticaria. It accounts for less than 0.5% of all urticaria cases and 7% of all photodermatoses. The disease usually begins in young adulthood (median age 35 years), but cases of onset in neonates or elderly persons have been reported. There is a female predominance but no ethnic difference. In the largest series of patients, a history of atopy is noticed in less than 30% of cases. The association of solar urticaria with other types of chronic urticaria may be seen in up to 16% of patients.[6][7] […] Solar urticaria is an enigmatic disorder that is not well understood. While the diagnosis is simple, its management is difficult. The condition is often encountered by the primary care provider, nurse practitioner, dermatologist, and internist. However, because the condition can be difficult to distinguish from other itching disorders, a referral to a dermatologist is recommended. […] Overall, the prognosis for patients with severe urticaria is poor. Many patients are restricted indoors and lead a poor quality of life.
  • #22 Solar Urticaria: Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1050485-overview
    Solar urticaria accounts for only 4% of patients in the United States with photosensitive disorders and, worldwide, for 0.5% of all urticaria cases and 7% of photodermatoses. […] The disorder has been reported in all skin types and ethnic groups, worldwide, with a slight female predilection. Regarding age, the disease has a wide range of onset (10-70 years). Typical onset is 20-40 years. […] The mean age of onset for solar urticaria is 35 years, but it has been reported to occur in infancy. […] Solar urticaria is associated with other types of chronic urticaria in up to 16% of patients.
  • #23 What Is Solar Urticaria?
    https://www.icliniq.com/articles/skin-care/solar-urticaria
    Solar urticaria is rare and can occur in people of any race. Only 650 cases of solar urticaria have been reported worldwide, although it is more commonly observed in people with white skin. It accounts for approximately 7 % of all photodermatoses and 0.5 % of all urticaria cases. The condition is usually present in a person’s mid-thirties. However, some rare cases in neonates and early childhood have also been reported. It has a female predominance. In about 16 % of the patients, solar urticaria was associated with other skin conditions like chronic allergies. […] Solar urticaria is considered to be caused by hypersensitivity type-1 reactions. In case of severe attacks, it may lead to episodes of syncope, bronchospasm, and life-threatening anaphylaxis.
  • #24 Solar Urticaria: Practice Essentials, Background, Epidemiology
    https://emedicine.medscape.com/article/1050485-overview
    Solar urticaria accounts for only 4% of patients in the United States with photosensitive disorders and, worldwide, for 0.5% of all urticaria cases and 7% of photodermatoses. […] The disorder has been reported in all skin types and ethnic groups, worldwide, with a slight female predilection. Regarding age, the disease has a wide range of onset (10-70 years). Typical onset is 20-40 years. […] The mean age of onset for solar urticaria is 35 years, but it has been reported to occur in infancy. […] Solar urticaria is associated with other types of chronic urticaria in up to 16% of patients.
  • #25 What Is Solar Urticaria?
    https://www.icliniq.com/articles/skin-care/solar-urticaria
    Solar urticaria is rare and can occur in people of any race. Only 650 cases of solar urticaria have been reported worldwide, although it is more commonly observed in people with white skin. It accounts for approximately 7 % of all photodermatoses and 0.5 % of all urticaria cases. The condition is usually present in a person’s mid-thirties. However, some rare cases in neonates and early childhood have also been reported. It has a female predominance. In about 16 % of the patients, solar urticaria was associated with other skin conditions like chronic allergies. […] Solar urticaria is considered to be caused by hypersensitivity type-1 reactions. In case of severe attacks, it may lead to episodes of syncope, bronchospasm, and life-threatening anaphylaxis.