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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1997-7-15
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pubmed:abstractText |
Photosensitivity, one of the presenting symptoms in lupus erythematosus (LE), is still poorly defined and varying prevalence figures have been reported. The possibility of a coexisting photodermatosis, especially polymorphous light eruption (PLE), has often not been taken into account. We report the results of ultraviolet A (UVA) and B (UVB) photoprovocation tests in 67 clinically photosensitive patients who had confirmed discoid LE (DLE), systemic LE (SLE) or subacute cutaneous LE (SCLE). The results are compared with a detailed history of photosensitivity and with clinical and serological findings. A pathological photoprovocation reaction, graded as weak, moderate or strong, was induced with either UVA or UVB in 69% of patients with LE, in 100% of those with SCLE, in 70% of those with SLE and in 64% of those with DLE, but in none of 14 controls. Only 16% of the pathological reactions were strong and long-lasting, resembling LE lesions, while 48% were moderate or weak and transient, clinically like PLE. Fifty-three per cent of the provocation reactions which were biopsied showed a PLE-like histology or a non-specific inflammatory reaction, and most of them were clinically moderate or weak reactions of short duration. In the remaining, mostly clinically strong or long-lasting reactions, the histology was consistent with LE. A history of sunlight sensitivity did not predict a pathological photoprovocation result but a positive association between the presence of SSA/Ro or SSB/La antibodies and a pathological photoprovocation reaction was found. We have shown that PLE coexists with LE and that both PLE- and LE-like lesions can be induced with UV radiation in LE patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0007-0963
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
136
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
699-705
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9205502-Adolescent,
pubmed-meshheading:9205502-Adult,
pubmed-meshheading:9205502-Aged,
pubmed-meshheading:9205502-Aged, 80 and over,
pubmed-meshheading:9205502-Autoantibodies,
pubmed-meshheading:9205502-Female,
pubmed-meshheading:9205502-Humans,
pubmed-meshheading:9205502-Lupus Erythematosus, Cutaneous,
pubmed-meshheading:9205502-Lupus Erythematosus, Discoid,
pubmed-meshheading:9205502-Lupus Erythematosus, Systemic,
pubmed-meshheading:9205502-Male,
pubmed-meshheading:9205502-Middle Aged,
pubmed-meshheading:9205502-Photosensitivity Disorders,
pubmed-meshheading:9205502-Skin,
pubmed-meshheading:9205502-Time Factors,
pubmed-meshheading:9205502-Ultraviolet Rays
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pubmed:year |
1997
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pubmed:articleTitle |
Photosensitivity in lupus erythematosus, UV photoprovocation results compared with history of photosensitivity and clinical findings.
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pubmed:affiliation |
Department of Dermatology, University of Tampere, Finland.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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