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A case of severe actinic prurigo successfully treated with thalidomide

✍ Scribed by Jonathan CH Ng; Peter A Foley; Rohan B Crouch; Christopher S Baker

Publisher
John Wiley and Sons
Year
2001
Tongue
English
Weight
169 KB
Volume
42
Category
Article
ISSN
0004-8380

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✦ Synopsis

SUMMARY

Actinic prurigo is an uncommon and usually persistent idiopathic photodermatosis with typical human leukocyte antigen (HLA) associations (HLA‐DR4, particularly subtypes DRB1*0407 and DRB1*0401). Although its mechanism of action is not clearly understood, thalidomide has been shown to be particularly efficacious in treating actinic prurigo, among other conditions. A 31‐year‐old Australian woman who had suffered actinic prurigo for most of her life was treated with two courses of thalidomide (50–100 mg nocte) over consecutive summers. Remission was observed after cessation of the second course of thalidomide and had continued 4 years later. Abnormalities in the cutaneous response to ultraviolet radiation at the time of diagnosis, detected by monochromator phototesting, reverted to normal following treatment.

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