{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:12:25Z","timestamp":1787314345844,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,4,14]],"date-time":"2018-04-14T00:00:00Z","timestamp":1523664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Photoderm Photoimm Photomed"],"published-print":{"date-parts":[[2018,7]]},"abstract":"Summary<\/jats:title>\n \n Background<\/jats:title>\n \n Solar urticaria (\n SU<\/jats:styled-content>\n ) is a rare chronic inducible urticaria triggered via uncharacterized chromophores. We detail responses of a large patient series to monochromator phototesting and broadband ultraviolet radiation (\n UVR<\/jats:styled-content>\n ); relationship to life quality is explored.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Retrospective review of all\n SU<\/jats:styled-content>\n patients undergoing standardized diagnostic photoinvestigation at a specialist centre during 2000\u20102016. From 2011, patients completed dermatology life quality index (\n DLQI<\/jats:styled-content>\n ) questionnaires for the past week and year.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In 145 patients (mean: 35.8, range: 3\u201069\u00a0years; 18 aged <18\u00a0years; 100 female), combined phototesting with broadband\n UVR<\/jats:styled-content>\n and monochromator sources successfully provoked 74.5% patients, with 65.6% provoked by broadband\n UVR<\/jats:styled-content>\n alone and 57.9% by monochromated radiation alone. The narrow wavebands most frequently eliciting wheal and flare response were between 370 and 400\u00a0nm, with 25% patients at 300\u00a0\u00b1\u00a05\u00a0nm, 53.6% at 320\u00a0\u00b1\u00a010\u00a0nm, 66.7% at 330\u00a0\u00b1\u00a010\u00a0nm, 77.4% at 350\u00a0\u00b1\u00a020\u00a0nm, 83.3% at 370\u00a0\u00b1\u00a020\u00a0nm, 86.9% at 400\u00a0\u00b1\u00a020\u00a0nm, 44% at 500\u00a0\u00b1\u00a020\u00a0nm and 17.8% at 600\u00a0\u00b1\u00a020\u00a0nm. In 62 patients, the\n DLQI<\/jats:styled-content>\n revealed 56.1% had very to extremely large impact in the past week (all patients: mean score: 11.1, range: 0\u201029) rising to 69.8% for the past year (12.5, 0\u201030); adults and children were similarly affected. Patients with positive photoprovocation had higher\n DLQI<\/jats:styled-content>\n score than those who were negative (\n DLQI<\/jats:styled-content>\n for past week: mean: 12.6\u00a0\u00b1\u00a0\n SEM<\/jats:styled-content>\n 1.1 vs 4.6\u00a0\u00b1\u00a01.4,\n P<\/jats:italic>\n \u00a0<\u00a0.01).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n SU<\/jats:styled-content>\n is predominantly provoked by longer\n UVA<\/jats:styled-content>\n \u2010shorter visible radiation, which penetrates window\u2010glass and where sunscreens are less effective; impact on life quality is considerable. Photoprotective agents effective against this spectrum are needed.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/phpp.12385","type":"journal-article","created":{"date-parts":[[2018,3,15]],"date-time":"2018-03-15T07:05:53Z","timestamp":1521097553000},"page":"262-268","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Solar urticaria in 145 patients: Assessment of action spectra and impact on quality of life in adults and children"],"prefix":"10.1111","volume":"34","author":[{"given":"Ann K.","family":"Haylett","sequence":"first","affiliation":[{"name":"Centre for Dermatology Research Division of Musculoskeletal and Dermatological Sciences School of Biological Sciences Faculty of Biology, Medicine and Health The University of Manchester and Salford Royal NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitra","family":"Koumaki","sequence":"additional","affiliation":[{"name":"Centre for Dermatology Research Division of Musculoskeletal and Dermatological Sciences School of Biological Sciences Faculty of Biology, Medicine and Health The University of Manchester and Salford Royal NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9107-6654","authenticated-orcid":false,"given":"Lesley E.","family":"Rhodes","sequence":"additional","affiliation":[{"name":"Centre for Dermatology Research Division of Musculoskeletal and Dermatological Sciences School of Biological Sciences Faculty of Biology, Medicine and Health The University of Manchester and Salford Royal NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.139.9.1149"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1684\/ejd.2013.1933"},{"key":"e_1_2_6_4_1","first-page":"132","article-title":"Solar urticaria: epidemiology and clinical phenotypes in a Spanish series of 224 patients","volume":"108","author":"P\u00e9rez\u2010Ferriols A","year":"2017","journal-title":"Actas Dermosifiliogr"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.1980.tb05831.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4362.1979.tb01963.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000235024"},{"key":"e_1_2_6_8_1","first-page":"458","article-title":"Urticaria: its history\u2010based diagnosis and etiologically oriented treatment","volume":"105","author":"Maurer M","year":"2008","journal-title":"Dtsch Arztebl Int"},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1001\/archderm.1986.01660170080024","article-title":"Solar urticaria. 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