Photosensitivity disorders in childhood are rare, with the notable exception of overexposure as sunburn, and therefore require a more circumspect approach. Practitioners who treat children are key players in identifying and managing the many photosensitivity disorders that rarely present in childhood. A classic photodistribution of skin findings may suggest photosensitivity, but a correct diagnosis depends on a detailed history correlated with clinical findings.
Key points
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Photodermatoses are rare in the pediatric population but should be suspected when the history and clinical picture are consistent with a light-induced origin.
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Underlying causes of photodermatoses may include genetic predisposition, metabolic disorders, immunosuppression, or medication use.
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Photodermatoses may become evident as early as the newborn period, particularly with certain disorders triggered by phototherapy for hyperbilirubinemia.
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As in adults with sunlight-induced photodermatoses, children may be impacted by seasonal influences and certain wavelengths that increase their risk of sensitivity.
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Photoprotection, such as sunscreens, photoprotective clothing, and films on windows, may be important recommendations in pediatric patients predisposed to photodermatoses.