{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T23:52:16Z","timestamp":1773273136649,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,2,5]],"date-time":"2023-02-05T00:00:00Z","timestamp":1675555200000},"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":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Polymorphous light eruption (PMLE) and chronic actinic dermatitis (CAD) have been classically described in White individuals, although recent studies have reported higher prevalence in patients with dark skin types, particularly African Americans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate for differences in demographic, and clinical features between persons with light and dark skin types who have PMLE and CAD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of patients with PMLE and CAD who were diagnosed from January 1, 1998, through November 31, 2021, at a single academic dermatology center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results\/Discussion<\/jats:title><jats:p>A total of 844 patients (725 [85.9%] female; mean [SD] age of onset: 41.7 [16.9] years) were diagnosed with PMLE, and 60 patients (22 [36.6%] female; mean age, [SD]: 60.6 [10.6] years) of age at presentation, disease duration of 8.2 [7.3] years were diagnosed with CAD. Although just over 50% of the general clinic population was White, the prevalence of PMLE and CAD was significantly higher in dark\u2010skinned individuals compared to light\u2010skinned individuals (PMLE: 625 [74.0%] vs. 219 [25.9%], <jats:italic>p<\/jats:italic> value\u2009&lt;\u2009.001; CAD: 43 [71.6%] vs. 17 [28.3%], <jats:italic>p<\/jats:italic> value\u00a0=\u00a0.003) respectively. The pinpoint papular variant of PMLE (PP\u2010PMLE) was predominantly seen in dark\u2010skinned individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A substantial proportion of PMLE and CAD cases are present in dark\u2010skinned individuals. PP\u2010PMLE can be mistaken for lichen nitidus. As such, recognition of this entity is important for adequate evaluation and management of patients with PMLE.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phpp.12863","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T12:33:38Z","timestamp":1674131618000},"page":"93-99","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Demographics and clinical presentations of 844 patients with light and dark skin types with polymorphous light eruption and chronic actinic dermatitis evaluated over 23\u2009years"],"prefix":"10.1111","volume":"39","author":[{"given":"Jalal","family":"Maghfour","sequence":"first","affiliation":[{"name":"Division of Photobiology and Photomedicine Department of Dermatology, Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"Mohney","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry W.","family":"Lim","sequence":"additional","affiliation":[{"name":"Division of Photobiology and Photomedicine Department of Dermatology, Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1374-1815","authenticated-orcid":false,"given":"Tasneem F.","family":"Mohammad","sequence":"additional","affiliation":[{"name":"Division of Photobiology and Photomedicine Department of Dermatology, Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1529-8019.2003.01601.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/omcr\/omu055"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/phpp.12543"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2014.03.012"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1529-8019.2003.01607.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.136.10.1215"},{"key":"e_1_2_9_8_1","first-page":"1548","volume-title":"Dermatology","author":"Lim H","year":"2018"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2016.5861"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.34380"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0781.2002.02779.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2006.01482.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8635(18)30828-3"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1984.01650430048008"},{"issue":"8","key":"e_1_2_9_15_1","first-page":"554","article-title":"Clinical, laboratory, phototest and phototherapy findings in polymorphic light eruptions: a retrospective study of 133 patients","volume":"8","author":"Mastalier U","year":"1998","journal-title":"Eur J Dermatol"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.134.9.1081"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2008.08500.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.694281"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-92616-8_14"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1747.2002.01742.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-56017-5_6"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0781.2004.00129.x"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.2310\/6620.2011.10105"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ad.2018.02.011"}],"container-title":["Photodermatology, Photoimmunology &amp; 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