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It was with great interest that I read the article by Sassmannshausen and Lim¹ on solar pruritus, which the authors felt perhaps explained the brachioradial pruritus previously described by Walcyk and Elpern.² However, on this occasion¹ itching developed on all the exposed skin within a few minutes of light exposure and resolved within an hour of avoiding light. The condition was also induced by visible light, was shown on biopsy specimens to be associated with mast cell degranulation, and was fully controlled by antihistamines. This is therefore absolutely typical of solar urticaria except for a lack of wealing, and the disorder in the patient described¹ should surely be considered almost certainly a mild variant of the condition.

Indeed, at least 1 other photodermatosis seems to have a similar mild form leading only to pruritus; namely, polymorphic light eruption.³ Solar pruritus in other guises may occur in the healing phase of . . . [Full Text of this Article]