Patro et al reported an algorithm for the diagnosis of photosensitivity in a pediatric patient. The authors are from multiple institutions in India.
Patient selection: pediatric patient with photosensitivity
Initial questions:
(1) history of exposure to a photosensitizer
(2) underlying dermatosis
(3) hereditary syndrome with malformations or systemic involvement
(4) abnormal plasma porphyrins
Photo-sensitizer Exposure
|
Underlying Dermatosis
|
Hereditary Syndrome
|
Abnormal Plasma Porphyrins
|
Diagnosis
|
Yes
|
NA
|
NA
|
NA
|
phototoxicity or photoallergy
|
No
|
Yes
|
NA
|
NA
|
photo-aggravated dermatosis
|
No
|
No
|
Yes
|
NA
|
hereditary
|
No
|
No
|
No
|
Yes
|
cutaneous porphyria
|
No
|
No
|
No
|
No
|
immune-mediated
|