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Mallorca acneL70.8

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 17.12.2021

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Synonym(s)

Acne; acne aestivalis; Acne-Prurigo; Mallorca acne; Spring acne; Summer acne

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HistoryThis section has been translated automatically.

Hjorth, 1972

DefinitionThis section has been translated automatically.

Genetically predisposed, photoreactive, acneiform (papular) variant of polymorphic light dermatosis.

ManifestationThis section has been translated automatically.

Beginning in spring, climax in summer, spontaneous decay in autumn.

LocalizationThis section has been translated automatically.

Sun-exposed areas, especially face, back of upper arm, V-shaped chest and back.

Clinical featuresThis section has been translated automatically.

Follicle-bound, acne-like, rough, small, keratotic papules, accompanied by itching. The monomorphic disseminated coarse nodules are free of comedones, inflammatory redness and sporadic abscesses.

HistologyThis section has been translated automatically.

Follicular ortho- and parakeratotic keratinization with perifollicular inflammatory reaction and partial perforation of the infundibulum epithelium.

General therapyThis section has been translated automatically.

Avoid sun exposure or radiation exposure with UVA, no oily sunscreens, rather use gels (see below gels, hydrophilic, gels, hydrophobic), and creams. Restrained therapy, as spontaneous healing without scarring.

External therapyThis section has been translated automatically.

Peeling treatments helpful, e.g. aluminium oxide (e.g. Brasivil Peeling fine) or polydimethyl silicone resin (e.g. Jaikin N Paste), tests with vitamin A acid externally as a solution or cream low dosed, e.g. 0.025%-0.05% tretinoin (e.g. Airol solution/cream) or the locally better tolerated Adapalen 0.1% (Differin gel/cream).

Internal therapyThis section has been translated automatically.

In case of superinfection systemic antibiotics with minocycline (e.g. Klinomycin) 2 times 50 mg/day p.o. for 3-4 weeks. Photopatch test after completion of the treatment.

ProphylaxisThis section has been translated automatically.

Gradually accustom skin to the sun, avoid greasy skin care products, ensure sufficient sun protection (especially textile sun protection).

Note(s)This section has been translated automatically.

Reflected light microscopy: Erythematous round focus with ectatic point and comma vessels, whitish to yellowish-opaque central brightening without comedones (orthohyperkeratosis). Possibly yellowish translucent lacunae (micro-abscedations).

LiteratureThis section has been translated automatically.

  1. Dummer R et al (2003) Clinical and therapeutic aspects of polymorphous light eruption. Dermatology 207: 93-95
  2. Hjorth N, Sjolin KE, Sylvest B et al (1972) Acne aestivalis-Mallorca acne. Acta Derm Venereol (Stockh) 52: 61-63
  3. Plewig G, Jansen T (1998) Acneiform dermatoses. Dermatology. 196: 102-107
  4. Stratigos AJ et al (2003) Spectrum of idiopathic photodermatoses in a Mediterranean country. Int J Dermatol 42: 449-454

Authors

Last updated on: 17.12.2021

Author: Prof. Dr. med. Peter Altmeyer