Case report highlights altered presentation of juvenile spring eruption in tropical climates, suggesting increased recurrence risk due to year-round UV exposure.
Juvenile Spring Eruption (JSE) is a photodermatosis typically seen in temperate climates during spring, affecting boys and young men on sunexposed areas of the ears. We report the case of a 7-year-old boy from southern India who developed recurrent erythematous papules and papulovesicles on the helices of both ears during October, coinciding with the rainy season. This atypical presentation highlights how tropical climates, with year-round high ultraviolet (UV) exposure, can alter the classic seasonal pattern of JSE. The diagnosis was supported by clinical morphology and the absence of systemic features. The patient was treated with topical corticosteroids, emollients, and strict sun protection, with favourable resolution. This case underscores the importance of recognizing JSE beyond temperate regions, where continuous UV exposure increases recurrence risk. Year-round sun safety education and early management remain critical to reducing morbidity and improving the quality of life for affected children in tropical settings.
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Ashwin et al. (2025) studied this question.
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