Chronic Actinic Dermatitis (Actinic Reticuloid: severe clinical variant)

  • Persistent UVR-evoked eczema of exposed areas (lesser extent non exposed areas) affecting older men during summer time
  • Presents with pruritic, patchy or confluent areas of eczematous change, lichenification or erythematous infiltration; typically worse in summer
  • Histology: changes vary from psoriasiform hyperplasia to interface dermatitis to atrophy
  • Treatment: photoprotection, topical corticosteroid, low dose NBUVB or PUVA, azathioprine, cyclosporine