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Our case had a history of photosensitivity and polymorphic light eruption like lesion.
Unusual findings such as association with polymorphic light eruption, appearance of disease in middle age, and absent family history are noteworthy and interesting atypical presentation of the disease which requires to be notified.
Millard TP et al (36) observed prevalence of polymorphic light eruption was 215 and 18% in monozygotic and dizygotic twins respectively.
Family history of polymorphic light eruption in first degree relative was present in 12% of affected twin pairs compared with 4% of unaffected twin pairs.

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