Chapter 36: Polymorphous Light Eruption

Pinpoint white papules with areas of scaling and crusting overlying a background of erythema on the left cheek in a young Black boy. Note the involvement of the left earlobe and neck as well as the background hyperpigmentation in these locations. (Reproduced with permission from Prose NS, Kristal L. Weinberg’s Color Atlas of Pediatric Dermatology, 5th ed. New York, NY: McGraw Hill; 2017, Figure 11-4.)

Pink papules coalescing into linear plaques along the nasal bridge and bilateral cheeks of a young woman, mimicking the butterfly rash of another photosensitive disorder, systemic lupus erythematosus. (Reproduced with permission from Prose NS, Kristal L. Weinberg’s Color Atlas of Pediatric Dermatology, 5th ed. New York, NY: McGraw Hill; 2017, Figure 11-3.)

Well-demarcated pink edematous plaque on the right malar cheek of an indigenous child. (Reproduced with permission from Prose NS, Kristal L. Weinberg’s Color Atlas of Pediatric Dermatology, 5th ed. New York, NY: McGraw Hill; 2017, Figure 11-2.)

Pinpoint skin-colored papules on the dorsal forearms. (Reproduced with permission from Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 29-2A.)

Large pink urticarial plaques on the extensor forearm of a young man. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 92-5D.)

Fine, skin-colored, confluent papules on the dorsal hand. Note the lack of visible erythema. (Reproduced with permission from Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 29-1.)

Diffuse, confluent, pink, pinpoint papules on the left upper extremity. Note the sparing of the non–sun-exposed areas. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 92-3B.)