TY - JOUR AU - Tuffanelli, Denny L. AB - Abstract Thirty-nine patients with polymorphous light eruptions (PMLE) were studied for the presence of circulating antinuclear antibodies and the deposition of immunoglobulin in the dermal-epidermal zone. The diagnosis of PMLE was determined clinically and confirmed by phototesting procedures. The serum antinuclear antibody test was questionably positive (±) in one of 35 patients so tested with human leukocyte or rat liver nuclei. Dermal-epidermal zone immunofluorescence was negative in each of 25 patients. These findings indicate that PMLE is not part of the lupus erythematosus (LE) spectrum of disease. Further, we feel that these testing procedures are of value for differentiating these two diseases. References 1. Shaffer B, Cahn MM, Levy EJ: Polymorphous light eruptions . J Invest Derm 32:353-366, 1959. 2. Epstein JH: Polymorphous light eruptions: Wavelength dependency and energy studies . Arch Derm 85:82-88, 1962.Crossref 3. Lamb JH, Jones PE, Maxwell TB: Solar dermatitis . Arch Derm 75:171-180, 1957.Crossref 4. Epstein JH: Polymorphous light eruptions: Phototest technique studies . Arch Derm 85:502-504, 1962.Crossref 5. Epstein JH, Tuffanelli DL, Dubois EI: Light sensitivity and lupus erythematosus . Arch Derm 91:483-485, 1965.Crossref 6. Baer RL, Harber LC: Photobiology of lupus erythematosus . Arch Derm 92:124-128, 1965.Crossref 7. Lester RC, Burnham TK, Fine G, et al: Immunologic concepts of the light reactions in lupus erythematosus and polymorphous light eruptions . Arch Derm 96:1-10, 1967.Crossref 8. Hargraves MM: Production in vitro of LE cell phenomenon: Use of normal bone marrow elements and blood plasma from patients with acute disseminated lupus erythematosus . Mayo Clin Proc 24:234-237, 1949. 9. Haserick JR, Bortz DW: A new diagnostic test for acute disseminated lupus erythematosus . Cleveland Clin Quart 16:158-161, 1949.Crossref 10. Rothfield NF, March C, Miescher P, et al: Study demonstrating the lack of clinical and laboratory evidence of systemic disease in most patients with chronic discoid lupus erythematosus , abstracted. Arthritis Rheum 5:317-318, 1962. 11. Shrank AB, Doniach D: Discoid lupus erythematosus . Arch Derm 87:677-685, 1963.Crossref 12. Peterson WC, Fusaro RM: Antinuclear factor in light sensitivity and lupus erythematosus . Arch Derm 87:563-565, 1963.Crossref 13. Kay DM, Tuffanelli DL: Lupus erythematosus: Newer aids in diagnosis . Derm Dig 7:69-74, 1968. 14. Burnham TI, Neblett RR, Fine G: The application of the fluorescent antibody technique to the investigation of lupus erythematosus and varied dermatoses . J Invest Derm 41:351-458, 1963.Crossref 15. Cormane RH: Bound: Globulin in the skin of patients with chronic discoid lupus erythematosus and systemic lupus erythematosus . Lancet 2:178, 1964. 16. Epstein JH: Polymorphous light eruptions . Ann Allerg 24:397-405, 1966. 17. Pohle EL, Tuffanelli DL: Study of cutaneous lupus erythematosus by immunobistochemical methods . Arch Derm 97:520-526, 1968.Crossref 18. Tuffanelli DL, Kay DM, Fukuyama K: Dermal-epidermal junction in lupus erythematosus . Arch Derm 99:652-662, 1969.Crossref 19. Hausman W, Haxthausen H: Die Lichterkrankungen der Haut: Strahlentherapie, Sonderbände . Berlin, Urban & Schwarzenberg, 1929, vol 11, p 62. 20. Cahn MM, Levy EJ, Shaffer B, et al: Lupus erythematosus and polymorphous light eruptions: An experimental study of their possible relationships . J Invest Derm 21:375-396, 1953.Crossref 21. Cahn MM, Levy EJ, Shaffer B: Polymorphous light eruptions: Ten year follow-up and evaluation . Arch Derm 88:756-758, 1963.Crossref 22. Burnham TK, Neblett RR, Fine G, et al: The Immunofluorescent Tumor Imprint Technique: IV. The significance of "thready" nuclear immunofluorescence . Arch Derm 99:611-616, 1969.Crossref 23. Ten Have Opbroek, AAW: On the differential diagnosis between chronic discoid lupus erythematosus and lymphocytic infiltration of the skin (Jessner) with emphasis on fluorescence microscopy . Dermatologica 132:109-114, 1966.Crossref 24. Chorzelski T, Jablonska S, Blaszczyk M: Immunopathological investigations in lupus erythematosus . J Invest Derm 52:333-338, 1969. TI - Polymorphous Light Eruption and Lupus Erythematosus: Differential Diagnosis by Fluorescent Microscopy JO - Archives of Dermatology DO - 10.1001/archderm.1970.04000040080015 DA - 1970-04-01 UR - https://www.deepdyve.com/lp/american-medical-association/polymorphous-light-eruption-and-lupus-erythematosus-differential-5aIlGPHz0L SP - 458 EP - 461 VL - 101 IS - 4 DP - DeepDyve ER -