1athe dachshund and flowers all over printed crocs crocband clog 2

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a persistent pores and skin situation that he feels resembles the cosmetically displeasing pimples he had as an adolescent. His current pores and skin condition consists of pale yellowish, cystic lesions and comedones localized on the face, under and lateral to the eyes, and behind the ears. Similar lesions are present on the cheeks, brow, and neck; a number of are present on the buttocks, the place, in accordance with the patient, he never had lesions together with his prior affliction. He also complains of reasonably extreme itching. Photoallergy from chemical contact should be differentiated from polymorphous light eruption, systemic lupus erythematosus, pellagra, dermatomyositis, porphyria, allergic contact dermatitis and photoallergic drug reaction. A thorough historical past of medication remedy will usually rule out photoallergic drug reaction. Plants similar to celery and citrus fruits have caused phototoxic dermatitis in individuals who deal with them extensively; farm staff are particularly susceptible. Contact with oil launched from lime skins or with coal tar and pitch has resulted in phototoxic dermatitis, especially in lightly pigmented individuals. Certain systemically administered medicines have brought on photoallergic drug reactions. Examples embrace nalidixic acid, phenothiazines, sulfonamides, sulfonylureas, tetracyclines, and thiazide diuretics. Pharmacists, nurses, and others who routinely have pores and skin contact with these medication are susceptible to photosensitivity dermatitis. The mechanisms of photosensitivity contact dermatitis are broadly analogous to the mechanisms of irritant and allergic contact dermatitis except for the added requirement of applicable ultraviolet radiation i.e., wavelengths of 315 to 400 nanometers, generally known as UV-A. The agent that provokes the irritant or allergic response is formed after its precursor has been uncovered to UV-A. Photosensitivity contact dermatitis happens mainly on sun-exposed areas such as the face, higher chest, posterior portion of the neck, extensor surfaces of the forearms, dorsum of the arms and ft, and anterior surfaces of the lower legs. Areas of the pores and skin normally coated by jewelry and clothing are spared, as are eyelids, areas beneath the chin, and higher parts of the ears lined by hair. Photosensitivity contact dermatitis could also be the results of phototoxicity or photoallergy. The clinical and microscopic appearances of skin lesions due to allergic contact dermatitis are the identical as these due to irritant contact dermatitis. In addition, chemical compounds that are structurally similar to the unique sensitizing agent could provoke recall of the specifically sensitized lymphocytes, a phenomenon often known as cross-sensitization. For example, persons exposed to p-phenylenediamines used within the rubber industry might react to associated substances used in photographic builders and dyes. Persons sensitized to Rhus plants similar to poison ivy or poison oak may be

1athe dachshund and flowers all over printed crocs crocband clog 2
1athe dachshund and flowers all over printed crocs crocband clog 2

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