Juvenile spring eruption L56.4

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

History
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Keining 1941; Burckhardt 1942

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

Etiopathogenesis
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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).

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

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

Differential diagnosis
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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

Therapy
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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.

Literature
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  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

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020