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Successful treatment of solar urticaria with UVA1 hardening in three patients
Alexis B Lyons1, Anjelica Peacock2, Raheel Zubair1
1Department of Dermatology, Henry Ford Hospital, Detroit, Michigan.
Abstract:
Solar urticaria (SU) is an uncommon photodermatosis that presents with sensitivity to ultraviolet (UV) or visible light which triggers urticarial lesions. Treatment of SU is a challenge and usually involves antihistamines and photoprotection as a first-line treatment. Phototherapy regimens are recommended if these first-line treatments fail to control the disease. Induction of tolerance by phototherapy (UV hardening) has been commonly described as a treatment modality. UVA1 has deeper penetration to the dermis than UVA or NB-UVB; its use in SU has not been previously reported. We present 3 patients with SU who were successfully treated with UVA1.
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