6672 Juvenile Spring Eruption in a 5-year-old male

Objectives To present a case of Juvenile Spring Eruption (JSE) in a 5-year-old boy and emphasize the significance of a comprehensive history and examination in diagnosing common skin conditions in primary care. Methods A 5-year-old boy presented with a rapid-onset rash on multiple upper body areas. A thorough history and physical examination were conducted by the General Practitioner, leading to the diagnosis of JSE. Results The patient exhibited erythematous scaly papules and bullae on the pinnae, erythematous plaques on the cheeks, and red macules on the neck. The diagnosis was made clinically without the need for major investigations. The patient was prescribed 1% hydrocortisone cream and advised on prophylactic measures, including sun avoidance and sunscreen use. Conclusion Early and accurate diagnosis in primary care is crucial for preventing exacerbations of PLE and its variants like JSE. Educating patients on prophylactic methods and taking comprehensive patient and family histories can help eliminate the need for specialist referrals. Efficient diagnosis in early spring in sun-exposed areas can improve patient outcomes. References Oakley AM, Ramsey ML. Polymorphic Light Eruption. In: StatPearls [Internet]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430886/. Elmets C. Polymorphous Light Eruption. In: UpToDate. Available from: https://www.uptodate.com. Ling T, Dawe R, Gardener E, Rothwell E, Rhodes L. Interventions for polymorphic light eruption. Cochrane Database of Systematic Reviews [Internet]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485352/. Millard T, Bataille V, Snieder H, Spector T, McGregor J. The Heritability of Polymorphic Light Eruption. Journal of Investigative Dermatology. Available from: https://www.sciencedirect.com/science/article/pii/S0022202X15409960.