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My skin hurts within about 4 minutes of direct sun exposure.

Customer Question
My skin hurts within...

My skin hurts within about 4 minutes of direct sun exposure. This happens about 85% of the time but not every time. There are never any lesions, rashes or hives, just pain. There is no sunburn either. With prolonged exposure, I burn, but the pain starts instantly. There is no pain when in the shade of any kind.

Doctor's Assistant: How long have you been dealing with the skin issue? Have you noticed any major changes in your overall skin or nails recently?

About 10 years. no changes

Submitted: 2 months ago.Category: Dermatology
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Answered in 23 minutes by:
5/29/2018
Dermatologist: DocPhilMD, Doctor replied 2 months ago
DocPhilMD
DocPhilMD, Doctor
Category: Dermatology
Satisfied Customers: 59,984
Experience: Internal Medicine Physician
Verified

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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Dermatologist: DocPhilMD, Doctor replied 2 months ago

what meds do you take?

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Customer reply replied 2 months ago
none
Dermatologist: DocPhilMD, Doctor replied 2 months ago

You probably have a severe sun allergy

have you always been like this?

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Customer reply replied 2 months ago
no, not always. I have no other symptoms of a sun allergy. No rash, no hives, no blisters, no lesions, no peeling no visible reaction,
Customer reply replied 2 months ago
as stated in my original post. it is just pain. almost instantly in direct sunlight
Dermatologist: DocPhilMD, Doctor replied 2 months ago

I understand but I believe it is another for of allergy

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Customer reply replied 2 months ago
Do you have any further information you can provide?
Dermatologist: DocPhilMD, Doctor replied 2 months ago

there is really nothing else it could be

I suppose some type of nerve inflammation but doubt it

It is very weird. I have never heard of anything like this before

My best guess based on experience as a physician and knowledge is some type of allergy

is this helpful?

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Customer reply replied 2 months ago
no, this has not been helpful, and provided no information beyond what I've already been able to find on google. Thank you anyway.
Dermatologist: DocPhilMD, Doctor replied 2 months ago

I will opt out for another physician

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Dermatologist: Dr. David, Board Certified Physician replied 2 months ago
Dr. David
Dr. David, Board Certified Physician
Category: Dermatology
Satisfied Customers: 50,156
Experience: Experienced Physician trained in New York City. I'm ready to help.
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this is Dr. David

you should ask your doctors for genetic tesitng for mutation of the XPC gene

and to check if you have a condition called xerostomia pigmentosa

https://ghr.nlm.nih.gov/condition/xeroderma-pigmentosum#genes

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Customer reply replied 2 months ago
Does this occur in African Americans? I am African American, and no one else in my family has such an issue.
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