Feature | Phototoxicity | Photoallergy |
Incidence | High | Low |
Amount of agent required for photosensitivity | Large | Small |
Onset after exposure to photosensitizer and light | Minutes to hours | 24 hours or more |
Requirement for immunization | No | Yes |
Clinical characteristics | Exaggerated sunburn | Acute, subacute, or chronic dermatitis |
Distribution | Exposed skin only | Exposed skin; may spread to unexposed skin |
Pigmentary changes | Frequent | Unusual |
Histopathologic features | Epidermal cell degeneration; dermal edema and vasodilatation; sparse mononuclear infiltrate | Epidermal spongiosis; exocytosis of mononuclear cells; dermal mononuclear cell infiltrate |
Development of persistent light reaction | No | Yes |
Cross-reactions to related agents | No | Yes |
Covalent binding with carrier protein | No | Yes |
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