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Juvenile spring eruptionL56.4

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Adolescent spring eruption; Hidroa vernalis; Juvenile spring eruption; Juvenile spring eruptions of the ears; Spring eruption youthful; Spring light dermatosis; Spring Pernio; Spring Perniosis

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HistoryThis section has been translated automatically.

Keining 1941; Burckhardt 1942

DefinitionThis section has been translated automatically.

A disease that occurs mainly in children and adolescents and is clinically impressive like pernio (spring pernio), which is a light dermatosis.

EtiopathogenesisThis section has been translated automatically.

Unclear; some authors see the disease as variant of a polymorphic light dermatosis. As cold influences, sudden temperature and air pressure changes apparently also play a triggering role (analogous to frostbite), a frostbitten mechanism cannot be excluded. It remains to be seen to what extent parvovirus B19 infections are pathogenetically significant (Kreuter A et al. 2018).

LocalizationThis section has been translated automatically.

Mainly located symmetrically at the edges of the ears, face, neck, back of the hands, forearms and lower legs (light-exposed regions).

Clinical featuresThis section has been translated automatically.

Itchy, painless succulent, bright red or reddish-livid erythema and swelling, papules and plques, more rarely papulovesiculosis and bullous skin changes.

Differential diagnosisThis section has been translated automatically.

Erythema exsudativum multiforme: Shooting target formations

Hidroa vacciniformia: circumscribed erythema with the formation of partially umbilical blisters up to 2.0 cm in size with serous or haemorrhagic content

Frostbite, degree II: Evidentiary anamnesis

Lichturtikaria: experimentally easily provoked

Erythropoietic protoporphyria: Infestation of the face, here mainly nose, back of the hand

TherapyThis section has been translated automatically.

Consistent coverage of the affected areas and application of light protection agents. If necessary, application of topical glucocorticoids, e.g. 0.5% hydrocortisone cream R119.

LiteratureThis section has been translated automatically.

  1. Abeck D et al (1991) Spring perniosis case observation and literature review. Z Hautkr 67: 49-51
  2. Jansen T, Plewig G (1999) Polymorphic photodermatitis. 2: Spring perniosis, therapy and prevention. MMW Progression Med 141: 46-48
  3. Keining E, Oldach FA (1941) Treatment results with nicotinamide in multiform erythema. Dermatol weekly 112: 285-293

  4. Kreuter A et al (2018) Juvenile Spring Eruption Associated With Parvovirus B19 Infection. JAMA Dermatol 154:1356-1357.

  5. Lava SA et al (22013) Juvenile spring eruption: an outbreak report and systematic review of the literature. Br J Dermatol 168:1066-1072.

  6. Nabatian AS et al (2015) Juvenile Spring Eruption: AVariant of Perniosis? At J Dermatopathol 37:721-723.

  7. Nakamura T et al (1986) Juvenile spring eruption. Dermatologist 37: 46-47
  8. Stratigos AJ et al (2003) Spectrum of idiopathic photodermatoses in a Mediterranean country. Int J Dermatol 42: 449-454

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer