A 9-year-old healthy girl with a very fair skin lives on the coast. Since 3 years asymptomatic quite large bright brown maculas appear during Summer on her face and arms. They disappear in October.
Thank you for your suggestion. It might be something connected to sunscreens, especially fragrances. Ashy dermatitis is probably more persistent and more frequent in dark skin people.
Solar lentigo may occur in healthy white children and young adults even in the first decades of life . Lesions may be tiny or large usually light brown macules .When examined by dermoscopy , the pigmentes pattern is reticulated .
Ananta, which clinical entity an abnormal inhomogenous stimulatioin of melanogenesis by excessive exposure during summers should be?
Nurimar, which solar lentigo reappears in June and disappears in October?
I've examined the ingredients of the two pediatric protective creams the girl has used and found a number of potential contact and/or photocontact allergens:
octocrylene
glycerin
butyl methosydibenzoylmethane
bis-ethylhexyloxyphenol methoxyphenyl triazine
Glycyrrhiza inflata root extract
glicyrrhetinic acid
trisodium EDTA
disodium EDTA
phenoxyethanol
propylene glycol
ethylhexyl triazone
triethanolamine
tocopherol
terephthalylidene dicamphor sulfonic acid
I could not find any of these substances on the list of causative agents of pigmented contact (cosmetic) dermatitis. Does anybody know anything about that?
Ephelides or Freckling is most frequent in individuals with red or blonde hair and blue eyes, particularly in those of Celtic extraction. Red-haired individuals with fair skin (and
freckles) have a significantly higher incidence of the gene encoding melanocortin receptors. They increase in number, size and depth of pigmentation during the summer months and are smaller, lighter and fewer in number in the winter. Freckles are a feature of a number of inherited and acquired disorders include xeroderma pigmentosum, neurofibromatosis, Moynahan’s syndrome and progeria.