Similar to PMLE but seen mainly in native American children; begins before age 10 in most cases (earlier than PMLE) and typically worse in spring and summer
Presents with erythematous edematous plaques with ensuing hemorrhagic crust and excoriations on exposed surfaces; pitted or minute linear scars left after lesions heal; associated cheilitis and conjunctivitis; improves/resolves in adolescence
Histology: epidermal spongiosis with dermal edema, perivascular mononuclear cell infiltrate
Treatment: photoprotection and topical corticosteroid, thalidomide (only effective systemic agent)
