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Lichtdermatosen im Kindesalter

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Zusammenfassung

Die Dermatitis solaris sowie phototoxische und idiopathische Photodermatosen treten im Kindesalter relativ häufig auf. Wesentlich seltener werden auf Enzym- oder Gendefekte beruhende Lichtdermatosen diagnostiziert, und Photoallergien sowie Erkrankungen aus der Gruppe der chronisch-aktinischen Dermatitiden wurden bisher nicht beschrieben. Da eine besondere Lichtempfindlichkeit der Haut bei Kindern oft das erste klinisch manifeste Symptom einer Photodermatose ist, sollte eine frühzeitige diagnostische Abklärung angestrebt werden. Die Diagnose ist oft schwierig zu stellen, da die Läsionen zum Zeitpunkt der Vorstellung des Patienten nur sehr diskret ausgeprägt oder bereits abgeheilt sind. Deshalb kommt den Photoprovokationstestungen gerade im Kindesalter eine besondere Bedeutung in der Diagnostik von Photodermatosen zu. Neben der frühzeitigen Diagnose und konsequenten Therapie ist vor allem die rechtzeitige Aufklärung der Eltern wichtig, damit sie ihre Kinder konsequent vor übermäßiger UV-Exposition schützen und so aktinische Spätschäden bis hin zu Malignomen vermieden werden können.

Abstract

Actinic dermatitis and phototoxic and idiopathic photodermatoses occur relatively often during childhood. Photodermatoses stemming from enzyme defects and genetic disorders are much less common, while photoallergic and chronic actinic dermatitis have not been dealt with to date. A specific sensitivity of a child's skin to light is often the first manifest clinical symptom of a photodermatosis, the key is to ensure early diagnosis. However, it is often difficult to reach a diagnosis, as the lesions are barely perceptible or have even healed by the time the patient is examined. This is why photoprovocation tests are so important in diagnosing photodermatoses, particularly during childhood. In addition to early diagnosis of these illnesses and offering the appropriate treatment, it is also crucial that the parents be well informed and aware of what symptoms to look for so that they can protect their children from overexposure to UV light and thereby avoid later actinic injuries that can become as serious as malignancies.

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Authors and Affiliations

  1. Hautklinik der Heinrich-Heine-Universität Düsseldorf

    N. J. Neumann

  2. Klinik für Dermatologie, Allergologie und Umweltmedizin, Klinikum Wuppertal GmbH

    P. Lehmann

  3. Heinrich-Heine-Universität Düsseldorf, Hautklinik, Moorenstraße 5, 40225 , Düsseldorf

    N. J. Neumann

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  1. N. J. Neumann
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  2. P. Lehmann
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Correspondence to N. J. Neumann.

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Neumann, N.J., Lehmann, P. Lichtdermatosen im Kindesalter. Hautarzt 54, 25–32 (2003). https://doi.org/10.1007/s00105-002-0468-z

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