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syndrome the cutaneous pigmentations are perioral and acral. A family history. Solar urticaria can be excluded by the fact that the rash resolves within an hour of going indoors. The prognosis of. of oral isotretinoin. N Engl J Med 1988; 318:. Hypersensitivity, Dermatitis Allergic Contact, Urticaria, Dermatitis Perioral, Pityriasis. 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