A 26-year-old woman who had myasthenia gravis (MG) experienced several instances of sunburns. A phototest was performed by ultraviolet (UV) A, UVB and visible light irradiation to the back surface of the sunburns. Numerous erythematous papules developed at the 20, 25, 30 J/cm2 UVA irradiated site. The phototest induced lesions were compatible with polymorphic light eruption (PMLE) with action spectrum in the UVA range. After immunosuppresant treatment, the MG and PMLE were in a well-controlled state. We report MG associated with PMLE followed with a literature review.
Adult ; Female ; Humans ; Light ; Myasthenia Gravis* ; Sunburn

This study was done to study the effect of UVA radiation upon sunburn cell formation by UVB. In this study a total of 67 ICR male albino haired mice were used. The results were as follows: 1. UVA radiation produce a little or no sunburn cell in doses 5 J/cm(2), 10 J/cm(2), and 15 J/cm(2). 2. Preirradiation of UVA 5 J/cm, 10 J/cm(2), 15 J/cm(2) had no effect on the sunburn cell formation by UVB 20 mJ/cm(2), 80 mj/cm(2)
Animals ; Hair ; Humans ; Male ; Mice ; Sunburn*

A total of 40 adult black-mice was used and divided into two groups for expeiment. Group A was irradiated by UVB only and Group B had SPF 15 sunscreen a.pplied to the back followed by irradiation by UVB. Each group was divided again into 5 subgroups according to the days of UVB irradiation frcm 2 to 10 days. A Waldmann combination UVA+UVB Radiation Treatment Cabin 8001 was used as the light source and the UVB dosage was 50 mJ/cm2 daily. Skin specimens were taken 24 hours after the last irradiation. Histologic changes in epidermis were reviewed by the light microscope. In group A, the characteristic sunburn cells(SBC) were observed with 100 mJ/ cm2. SBC number was maximum with 400 mJ/cm2. The other epidermal changes were parakerat.osis, crusts, atypical cells, and mitoses of basal cells, which showed graded responses to the UVB doses. Pretreatment with the sunscreen completely prevented these changes.
Adult ; Epidermis ; Humans ; Keratinocytes* ; Mitosis ; Skin ; Sunburn

index (%) in unirradiated mouse skin was 11.0+/-4.3. LI was significantly increased by tape stripping to 22.1+/-4.6. 2. The number of SBC in 1cm epidermis after 50mJ/cm UVB exposure was 28.2+/-4.1. The number of SBC was increased by tape stripping to 57.4+Cell proliferation, by evaluating sunburn cell (SBC) formation, was studied in mouse skin following tape stripping and ultraviolet light B (UVB) exposun.. 1-radiation was achieved using high pressure mercury are UVB. The results are summarized as follows. 1. Labeling 19.2. These results suggest that proliferating cells are more sensitive to UVB exposure.
Animals ; Cell Proliferation* ; Epidermis ; Mice ; Skin ; Sunburn* ; Ultraviolet Rays

This study was undertaken to investigate the quantitative change of sunburn cell(FiBC)production and ear swelling reaction(ESR)aecording to the UVA radiation dose and time course sfter PUVA treatment. A total of 75 ICR male albino haired mice were used as subjects. The results were as follows : 1. At 24 hours after PUVA treatment, the mean SBC numbers per cm length of epidermis were 29.1+13.6 with 1J/cm, 48.8+19.5 with 5J/cm, and 51.6+14. 8 with 10J/cm of UVA irradiation. SBC production was dose related with respect to radiation dose, but the increment was not so remarkable with more than 5J /cm of UVA irradiation. 2. [n PUVA treatment using 5J/cm of UVA, the mean SBC numbers per cm length of epiderrnis were 48.8+19.5 after 24 hours, 63.8+18.3 after 48 hours. SBC numbers rose to a maximum at 48 hours, but epidermal damage precludecl SBC counting after this. 3. At, 24 hours after PUVA treatment, no significant ESR was observed with 1 an3 5J/cm of UVA. In PUVA treatment using lOJ/cm of UVA, the mean ear thickness was 20.6+1.7( x 10mm) before treatment and 30.1+3.3( x 10mm') at 2h: hours after treatment, which showed significa.nt change(p<0.05). 4. In PUVA treatment using 5J(cm of UVA, ESR showed significant change at 43hours reaching a maximum at 72 hours. After 7 days, ESR was not measurable due to ear necrosis.
Animals ; Ear* ; Epidermis ; Hair ; Humans ; Male ; Mice* ; Necrosis ; Skin* ; Sunburn*

BACKGROUND: Indomethacin is a potent inhibitor of prostaglandins biosysnthesis. Sunburn erythema is mainly mediated by prostaglandins. OBJECTIVE: Our purpose was to compare objectively the effectiveness of topical indomethacin with topical corticosteroid on the suppression of UVB erythema METHODS: Sixteen male medical students who had not exposed their back skin during the last year were included in this study. According to the individual´s MED, 1,2, and 3 MED of UVB were irradiated on each back in triplicate lines. Immediately after UVB irradiation, 2.5% indomethacin solution and 0.25% desoximethasone were applied to each row with one row left for control. 24 hours after the initial application the intensity of each erythema was measured by the naked eye and by colorimeter. RESULTS: The suppressive effectiveness of 2.5% indomethacin solution on UVB induced erythema was superior to that of 0.25% desoximethasone. The L* and a* value of colorimeter were significantly correlated to the differencies of UVB induced erythema among the experimental and control groups is a useful and rapid method to evaluate the UVB induced erythema, and can give a numerical expression to eye perception. CONCLUSION: Our data confirm that topical indomethacin has a stronger suggestive effect on UVB erythema than that of topical corticosteroid.. We suggest that the suppressive effect of indomethacin is mainly due to the inhibition of prostaglandins biosynthesis. The colorimeter CR-200(MINOLTA) is well correlated with the naked eye score and is a useful instrument for objective measurement of the degree of erythema.
Erythema* ; Humans ; Indomethacin* ; Male ; Methods ; Prostaglandins ; Skin ; Students, Medical ; Sunburn

In this study, a total of 115 ICR male albino haired mice were used and divided into two groups(A & B) for experiment. In group A(65 mice), quantiatation of sunburn cell(SBC) production and its distribution according to the time course after ultraviolet irradiation was measured. In group B(50mice), quantitation of dose-response experiments for SBC production after ultraviolet irradiation was measured. The results were as follows: ]. SBCs were recognized by 2 hours after irradiation. There was a tendency to increase from 2 hours to 24 hours and decrease from then to l week after irradiation, 2. The increase of SBCs in lower epidermis 2 hours io 8 hours after exposure and in upper epidermis 24 hours after irradiation were statistically significant (p<0. 05). SBG number in all layers declined from 36 hours to 1 week after exposure. 3. The linear relationship which observed(y=8.09+0.85x, R=0.87) suggests a dose-response relationship between UVB dose and SBC number.
Animals ; Epidermis ; Hair ; Humans ; Male ; Mice* ; Skin* ; Sunburn*

Becker's nevus has been known as a sudden onset of hyperpigmentation on shoulder or arm in the second decade of life with slow peripheral extension and later development of hypertrichosis. We observed two cases of typical Becker's nevus which was confirmed by characteristicclinical and histopathological findings. One was 45-year-old male who has a patch of hyperpigmentation and hypertrichosis on left upper arm at birth, the other was 2()-year-old male who developed on right shoulder after sunburn which is a salient feature by Becker's initial description.
Arm ; Burns ; Humans ; Hyperpigmentation ; Hypertrichosis ; Male ; Middle Aged ; Nevus* ; Parturition ; Shoulder ; Sunburn

BACKGROUND: Although sunscreen is used as a primary strategy for the prevention of sunburn, photoaging, and skin cancer, few people regularly use sunscreen. OBJECTIVE: To investigate awareness regarding the effects of sunlight, the extent of sun exposure, and sunscreen use behaviors in Korean subjects. METHODS: A questionnaire was administered to 467 adult patients who visited the Dermatology Department at Seoul National University Boramae Hospital. The questionnaire covered demographic characteristics, causes of wrinkles, sunspots, and skin cancer, awareness of the harmful effects of sun exposure, perceived and actual extent of sun exposure, and the use of sun-protective methods including sunscreen. RESULTS: Sun exposure was selected as the major cause of age spots (60.6%), skin cancer (60.9%), and wrinkles (25.9%). Respondents were likely to underestimate the extent of sun exposure. On average, quite a few respondents stated that they were exposed to sunlight for more than one hour per day (22.7% on weekdays, 52.4% on weekends). However, only 9.4% of respondents thought that their sun exposure was problematic and 62.7% of respondents considered moderate sunlight exposure healthy. Respondents' sun-protective behaviors were inadequate: only 29.8% used sunscreen regularly, and 16.5% have never used sunscreen. SPF was the most important factor in choosing sunscreen, and 83.3% used a sunscreen with a labeled SPF over 30. By contrast, only 34.6% of respondents used PA+++ sunscreen. CONCLUSION: Despite fairly good knowledge regarding the harmful effects of sunlight, subjects underestimated the risks of their sun exposure and sun-protective behaviors were suboptimal. Education on the risk of UV exposure and effects of sunscreen is still needed.
Adult ; Surveys and Questionnaires ; Dermatology ; Education ; Humans ; Korea ; Seoul ; Skin Neoplasms ; Solar Activity ; Solar System* ; Sunburn ; Sunlight

The health-promoting qualities of ultraviolet light have been well recognized, but it also induces deleterious effects from sunburn to skin cancer, Since our enviroment exposes us to both ultraviolet and infrared rays at the same time, the latter is considered to influence to some extent the cutaneous effects of the former. In recent years, it has become increasingly apparent that the biologic effects of one type of radiation may be modified by wavelengths of different energies. Interactions of this kind are complex and occasionally result in true synergy or antagonism. Although there are several reports on these interactions, the results are not in accordance. This study was undertaken to investigate the influence of infrared radiation (IR) on ultraviolet radiation (UVR)-induced skin injury, especially minimal erythema dose (MED). Thirty-five healthy medical students participated in this study between May and June, 1983. One side of the back was exposed to IR with UVR while as a control the other side was exposed only to VVR. The results were summarized as follows : 1. In one experiment treated with IR before UVR, the mean MED-S.D. of the treated site was 17 7+5 3 (sec) and that of the control site was 18. 3-+6. 4 (sec)- The increase of the MED was statistically significant. (p<0. 01], paired t-test) Among the fifteen subjects, the MED was increased in 73% (11/15), and the same in 27% (4/15).
Erythema ; Humans ; Infrared Rays ; Skin Neoplasms ; Skin* ; Students, Medical ; Sunburn ; Ultraviolet Rays