An abnormal reaction to sunlight, usually occurring as a skin rash appearing in response to light falling on the skin; it may be caused by substances that have been eaten or applied to the skin. These are called photosensitisers and may be dyes, chemicals in soaps, or drugs. Sometimes plants act as photosensitisers – for example, buttercups and mustard. Certain rare metabolic diseases may lead to photosensitisation. They include the PORPHYRIAS and PELLAGRA. Other skin diseases such as lupus erythematosus (see under LUPUS) and ROSACEA may be aggravated by light exposure. Even in the absence of any of these factors, some people spontaneously develop sensitivity to light causing various patterns of DERMATITIS or URTICARIA. The most common pattern is ‘polymorphic light eruption’ which typically appears within a day or two of arrival at a sunny holiday destination and persists until departure. Continuously exposed areas, such as the hands and face, may be ‘hardened’ and unaffected.

Treatment Appropriate clothing and headgear, sunscreen creams and lotions are the main preventative measures.