Fotodermatoses Autoimunes Parte II - Manifestações Clínicas e Terapêutica

  • Rita Ramos Pinheiro Serviço de Dermatologia, Hospital Santo António dos Capuchos, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Virgínia Coelho de Sousa Serviço de Dermatologia, Hospital Santo António dos Capuchos, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Filipa Rocha Páris Serviço de Dermatologia, Hospital Santo António dos Capuchos, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Margarida Apetato Serviço de Dermatologia, Hospital Santo António dos Capuchos, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Gabriela Marques Pinto Serviço de Dermatologia, Hospital Santo António dos Capuchos, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
Palavras-chave: Dermatite Fotoalérgica/diagnóstico, Dermatite Fotoalérgica/tratamento, Perturbações de Fotossensibilidade/ diagnóstico, Perturbações de Fotossensibilidade/tratamento, Raios Ultravioleta, Sistema Imunológico

Resumo

As fotodermatoses autoimunes constituem um grupo heterogéneo de dermatoses idiopáticas incluindo cinco entidades clinicamente distintas: erupção polimorfa à luz, prurigo actínico, hydroa vacciniforme, dermite actínica crónica e urticária solar. Algumas destas dermatoses são potencialmente graves e com grande impacto na qualidade de vida dos doentes. Várias medidas de fotoprotecção são suficientes para o tratamento de doentes com formas ligeiras. As opções terapêuticas actuais são limitadas em doentes com doença grave e refractária, reflectindo os mecanismos fisiopatológicos pouco clarificados. Ainda assim, avanços recentes na área da fotoprotecção têm contribuído para um maior sucesso terapêutico. Numa altura em que a área da fotodermatologia tem vindo a perder gradualmente o seu impacto, propomos rever as manifestações clínicas e abordagens terapêuticas actuais das fotodermatoses idiopáticas, entidades raras e que impõem desafios relevantes no seu diagnóstico e tratamento.

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Publicado
2018-01-26
Como Citar
Ramos Pinheiro, R., Coelho de Sousa, V., Rocha Páris, F., Apetato, M., & Marques Pinto, G. (2018). Fotodermatoses Autoimunes Parte II - Manifestações Clínicas e Terapêutica. Revista Da Sociedade Portuguesa De Dermatologia E Venereologia, 75(4), 371-382. https://doi.org/10.29021/spdv.75.4.877
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