Also found in: Dictionary, Thesaurus, Encyclopedia, Wikipedia.




Photosensitivity refers to any increase in the reactivity of the skin to sunlight.


The skin is a carefully designed interface between our bodies and the outside world. It is infection-proof when intact, nearly waterproof, and filled with protective mechanisms. Sunlight threatens the health of the skin. Normal skin is highly variable in its ability to resist sun damage. Natural skin pigmentation is its main protection. The term photosensitivity refers to any increase beyond what is considered normal variation.

Causes and symptoms

There are over three dozen diseases, two dozen drugs, a variety of herbal preparations, and several perfume and cosmetic components that can cause photosensitivity. There are also several different types of reaction to sunlight—phototoxicity, photoallergy, and polymorphous light eruption. In addition, prolonged exposure to sunlight, even in normal skin, leads to skin aging and cancer. These effects are accelerated in patients who have photosensitivity.
  • Phototoxicity is a severely exaggerated reaction to sunlight caused by a new chemical in the skin. The primary symptom is sunburn, which is rapid and can be severe enough to blister (a second degree burn). The chemicals associated with phototoxicity are usually drugs. The list includes several common antibiotics—quinolones, sulfonamides, and tetracyclines; diuretics (water pills); major tranquilizers; oral diabetes medication; and cancer medicines. There are also some dermatologic drugs, both topical and oral, that can sensitize skin.
  • Photoallergy produces an intense itching rash on exposure to sunlight. Patients develop chronic skin changes (lichen simplex) as a result of scratching. Some of the agents that cause phototoxicity can also cause photoallergy. Some cosmetic and perfume ingredients, including a compound that was formerly used in sunscreens—para-amino benzoic acid (PABA)—can do this. Most sunscreen preparations in the early 2000s, however, no longer include PABA.
  • Polymorphous light eruption (PLE) resembles photoallergy in its production of intensely itching rashes in sunlight. However, this condition lessens with continued light exposure, and so is seen mostly in the spring. Also, there does not seem to be an identifiable chemical involved. PLE is most likely to develop in fair-skinned individuals. It is estimated to affect about 10% of the United States population compared to 21% of the Swedish population. The female: male ratio is 2.5: 1, but it is thought that the imbalance may be due to the fact that women are more likely than men to seek treatment for PLE.
  • There is a form of inherited PLE that affects Native Americans. The inheritance pattern is autosomal dominant.
Diseases of several kinds increase skin sensitivity:
  • A hereditary disease called xeroderma pigmentosum includes a defect in repair mechanisms that greatly accelerates skin damage from sunlight.
  • A family of metabolic diseases called porphyrias produce chemicals (porphyrins) that absorb sunlight in the skin and thereby cause damage.
  • Albinos lack skin pigment through a genetic defect and are thus very sensitive to light.
  • Malnutrition, specifically a deficiency of niacin known as pellagra, sensitizes the skin.
  • Several diseases like acne, systemic lupus erythematosus, rosacea, and herpes simplex (fever blisters) decrease the resistance of the skin to sun damage. Rosacea is sometimes described as a photoaggravated skin disorder because its symptoms increase in severity when patients are exposed to sunlight.
  • Photosensitivity is increasingly recognized as a common development in HIV-positive patients. Risk factors for photosensitivity in this group include African American ethnicity and treatment with highly active antiretroviral therapy (HAART).


The pattern of appearance on the skin, a history of drug or chemical exposure, and the timing of the symptoms often suggests a diagnosis. A skin biopsy may be needed for further clarification.


Removal of the offending drug or chemical is primary. Direct sunlight exposure should be limited. Some people must avoid sunlight altogether, while others can tolerate some direct sunlight with the aid of sunscreens.


A sunscreen with an SPF of 15 or greater protects most skin from damage. Such protective garments as hats and long-sleeved shirts are highly recommended in addition.

Key terms

Albino — A person or animal lacking normal coloring in the eyes, hair, and skin due to a hereditary inability to produce the skin pigment melanin. The condition itself is called albinism.
Biopsy — Surgical removal of tissue for examination.
Rosacea — A chronic skin disease characterized by persistent redness of the skin and periodic outbreaks of pustules, usually affecting the middle third of the face.



Beers, Mark H., MD, and Robert Berkow, MD., editors. "Pigmentation Disorders." Section 10, Chapter 123 In The Merck Manual of Diagnosis and Therapy. Whitehouse Station, NJ: Merck Research Laboratories, 2002.
Beers, Mark H., MD, and Robert Berkow, MD., editors. "Reactions to Sunlight." In The Merck Manual of Diagnosis and Therapy. Whitehouse Station, NJ: Merck Research Laboratories, 2004.


Bilu, D., A. J. Mamelak, R. H. Nguyen, et al. "Clinical and Epidemiologic Characterization of Photosensitivity in HIV-Positive Individuals." Photodermatology, Photoimmunology and Photomedicine 20 (August 2004): 175-183.
Ciocon, J. O., D. G. Ciocon, and D. J. Galindo. "Dietary Supplements in Primary Care. Botanicals Can Affect Surgical Outcomes and Follow-Up." Geriatrics 59 (September 2004): 20-24.
Levy, Stanley B., MD. "Sunscreens and Photoprotection." eMedicine November 25, 2002.
Murphy, G. "Ultraviolet Light and Rosacea." Cutis 74, Supplement 3 (September 2004): 13-16, 32-34.
Palmer, R. A., C. B. van de Pas, E. Campalani, et al. "A Simple Method to Assess Severity of Polymorphic Light Eruption." British Journal of Dermatology 151 (September 2004): 645-652.
Shirin, Sophie, MD, Raul DelRosario, MD, and Ada Winkielman, MD. "Polymorphous Light Eruption." eMedicine October 16, 2003.


American Academy of Dermatology (AAD). P. O. Box 4014, Schaumburg, IL 60168-4014. (847) 330-0230.
United States Food and Drug Administration (FDA). 5600 Fishers Lane, Rockville, MD 20857-0001. (888) INFOFDA.


1. sensitivity of a cell to light.
2. abnormally heightened sensitivity to sunlight, such as of the eyes or skin. See also photosensitization.


Abnormal sensitivity to light, especially of the eyes. For example, light may irritate the eyelids, conjunctiva, cornea or, in excess, the retina; when scattered by a cataractous lens light may produce glare; it can produce a migraine headache or a temporary exotropia. See: photophobia, photalgia, photesthesia.


n. pl. photosensitivi·ties
1. Sensitivity or responsiveness to light.
2. Medicine An abnormally heightened response, especially of the skin, to sunlight or ultraviolet radiation, caused by certain disorders or chemicals and characterized by a toxic or allergic reaction.


1 sensitivity of a cell to light.
2 any abnormal response to exposure to light, specifically, a skin reaction requiring the presence of a sensitizing agent and exposure to sunlight or its equivalent. Photosensitivity includes photoallergic and phototoxic reactions and is common in systemic lupus erythematosus.


 An abnormal sensitivity of skin to light


A state in which an abnormal reaction occurs on exposure to sunlight. The commonest reaction is a skin rash occurring as a combined effect of light and some substance that has been eaten or applied to the skin. Such substances are called photosensitizers and include various drugs, plant derivatives, dyes or other chemicals. Avoidance of either or both elements is important.


skin sensitization to ultraviolet light; may occur in association with amiodarone medication


n an adverse skin reaction to some essential oils and other treatments, in which the skin reacts to ultraviolet rays resulting in redness, hyperpigmentation, and in severe cases, blistering.


the state of being photosensitive.
References in periodicals archive ?
Dapsone-induced acute photosensitivity mimicking pellagra in a leprosy patient.
These results now let us think about different categories of drugs for treatment of photosensitivity," Werth points out.
Severe skin adverse reactions permanently preclude use of vemurafenib, but dabrafenib--the only other BRAF inhibitor with market authorization for unresectable stage III-IV BRAF mutant melanoma--"seems to be beneficial in case of vemurafenib-induced skin intolerance," they noted, adding that for other skin toxicities, including photosensitivity and cutaneous carcinoma, treatment adjustment is generally not required, and that treatment resumption at a reduced dose should be considered after skin improvement in patients with rashes.
If your job or lifestyle requires that you spend time outside, especially during the summer months, speak to your doctor about the possibility of switching to another medication that doesn't cause photosensitivity.
Limiting side effects include photosensitivity and gastrointestinal (GI) disturbance.
Fowler tries to use the lowest doses possible because of concerns about oral antibiotics' adverse effects, such as gastrointestinal symptoms, vertigo, photosensitivity, autoimmune disease, and antibiotic resistance.
The world's leading expert in photosensitivity said flashing lights and the flickering screen on the pounds 180 PlayStation Portable can cause attacks similar to epileptic fits.
Topics include structure-property relationships, hybrids and nanocomposites and their characterization, segmental dynamics in polyimide materials, photoalignable polyimides, photoconductivity and photosensitivity of polyimides, ultrafiltration membranes from polyetherimide, polyimide as a tunneling barrier, polymer materials for nonlinear optical applications, surface modification of polyimide, adhesion of copper to polyimide surfaces, and polyamide erosion in a low Earth orbit space environment.
physicians recommend that individuals who may have an increased risk of photosensitivity wear a sunscreen with a sun protection factor of at least 15.
Central nervous system, hepatic, and metabolic effects are also possible, and some patients experience photosensitivity and rashes after taking fluoroquinolones.
All four photodiodes cover a spectral response range of 440 nm to 1,100 nm and achieve peak photosensitivity of 0.