<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-9190</journal-id>
<journal-title><![CDATA[Revista alergia México]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. alerg. Méx.]]></abbrev-journal-title>
<issn>2448-9190</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Inmunología Clínica y Alergia A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-91902017000300371</article-id>
<article-id pub-id-type="doi">10.29262/ram.v64i3.202</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Urticaria solar. Reporte de un caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Solar urticaria. Case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Raigosa]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toro]]></surname>
<given-names><![CDATA[Yuliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia IPS Universitaria Grupo de Alergología Clínica y Experimental]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación para el Desarrollo de las Ciencias Médicas y Biológicas  ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>64</volume>
<numero>3</numero>
<fpage>371</fpage>
<lpage>375</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-91902017000300371&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-91902017000300371&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-91902017000300371&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La urticaria solar es un tipo infrecuente de urticaria inducible que se manifiesta con erupciones y eritema poco después de la exposición a la luz del sol o de una fuente de luz artificial; su fisiopatología aún no se comprende del todo. El tratamiento de elección, además de evitar la exposición, consiste en la administración de antihistamínicos.  Caso clínico: Mujer de 27 años, sin antecedente personal de enfermedades alérgicas, con cuadro clínico de 2 años de evolución consistente en eritema y erupciones en áreas fotoexpuestas asociados con exposición a la luz del sol durante más de 10 minutos. Se realizó prueba de reto. Se decidió continuar con una dosis de fexofenadina 4 veces mayor a la convencional (720 mg/día). Seis semanas después se efectuó nuevo reto sin suspender el antihistamínico; la reacción fue menos severa, pero la paciente continuó con eritema durante los primeros 60 minutos posteriores a la exposición. Después de 3 meses con dosis altas de antihistamínicos, la paciente refirió notable mejoría en su calidad de vida y tolerancia a exposiciones cortas a luz solar (menos de 15 minutos).  Conclusiones: La urticaria solar es un proceso raro pero con alto impacto en el paciente. El uso de antihistamínicos alivia parcialmente los síntomas y permite una mejor tolerancia a las exposiciones lumínicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Solar urticaria is a rare type of inducible urticaria characterized by wheal and erythema formation shortly after exposure to sunlight or to an artificial light source; its pathophysiology is not yet entirely understood. The treatment of choice, in addition to exposure avoidance, consists in antihistamine administration.  Clinical case: This is the case of a 27-year-old woman with no personal history of allergic diseases and with a 2-year history of erythema and wheals in photo-exposed areas associated with sunlight exposure for periods longer than 10 minutes. A provocation test was carried out; she was started on fexofenadine at 4-fold the standard dose (720 mg/day). Six weeks later, a new challenge was carried out without the antihistamine being discontinued; the reaction was less severe, but she continued with erythema for the first 60 minutes post-exposure. After 3 months on high-dose antihistamines, she referred marked improvement in her quality of life and tolerance to brief sunlight exposure (for less than 15 minutes).  Conclusions: Solar urticaria is a rare process but with a high impact on the patient. The use of antihistamines partially relieves symptoms and allows better tolerance to lighting expositions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Antihistamínicos]]></kwd>
<kwd lng="es"><![CDATA[Fotosensibilidad]]></kwd>
<kwd lng="es"><![CDATA[Urticaria solar]]></kwd>
<kwd lng="es"><![CDATA[Prueba de fotoprovocación]]></kwd>
<kwd lng="en"><![CDATA[Antihistamines]]></kwd>
<kwd lng="en"><![CDATA[Fotosensibility]]></kwd>
<kwd lng="en"><![CDATA[Solar urticaria]]></kwd>
<kwd lng="en"><![CDATA[Foto-test]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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