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A case of type IV solar urticaria identified by reverse in vitro serum test
Hirotake Ozaki1, Takashi Matsuyama, Yo Kawakubo
1Department of Dermatology, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
Abstract:
We had a 17-year-old male patient with solar urticaria diagnosed as type IV of modified Harber's classification. The action spectrum of this case was estimated to be 433-499 nm and the inhibition spectrum was 533 nm. Both in vitro serum test and tentatively designated "reverse in vitro serum test" were positive. The patient was prescribed 20 mg/day epinastine hydrochloride (Alesion) orally for 49 weeks with improvement of the symptoms.
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