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Solar exudative erythema multiforme

 
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Last reviewed: 04.07.2025
 
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Solar erythema multiforme exudative is a dermatosis characterized by the appearance of rashes on the skin under the influence of UV radiation.

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Causes of solar exudative erythema multiforme.

UV radiation plays an important role in the development of the disease. In the development of dermatosis, an important role is given to the state of the autonomic nervous system, pathology of the endocrine glands, sensitization of the body to various allergens.

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Symptoms of solar exudative erythema multiforme.

The disease mainly occurs in spring and summer. In most cases, hyperemic edematous spots or nodules appear on exposed areas (face, neck, outer sides of arms and legs). Elements (mainly plaques) 0.5-1.5 cm in size tend to grow peripherally, rise slightly above the skin, and have a round or oval shape. The center of the elements is bluish-pink, and the circumference is pink-red. If vesicular elements appear, they contain serous and sometimes hemorrhagic fluid. The vesicle cover quickly bursts, erosions form, their surface is covered with a hemorrhagic and yellowish-gray crust. Itching and burning are felt in the lesions.

Solar erythema multiforme exudative erythema is often combined with polymorphic photodermatosis, solar erythema and other photodermatoses.

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Differential diagnosis

Solar erythema multiforme exudative should be distinguished from simple erythema multiforme exudative, dermatitis herpitiformis, pemphigus, and sulfanilamide erythema.

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Treatment of solar exudative erythema multiforme.

Vitamins B1, B2, B12, PP, C, salicylic acid, hyposensitizing, antihistamine and antipyretic drugs, tranquilizers are used in treatment. Hormonal creams or ointments are applied to the skin. Patients are advised to follow a diet, protect themselves from sunlight and use sunscreens.

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