When should I consider referring a patient with severe photosensitivity to a dermatologist?

Consider referring a patient with severe photosensitivity to a dermatologist if:

• the diagnosis is uncertain or complex, requiring specialist assessment;
• the photosensitivity is severe and not responding to initial management;
• there is suspicion of an underlying dermatological condition such as contact allergic dermatitis;
• the photosensitivity is causing significant impact on the patient’s quality of life or psychosocial wellbeing;
• there are associated complications such as recurrent infections or skin damage.

Referral is particularly important when the condition is severe, persistent, or atypical, or when specialist advice is needed to guide treatment and management strategies.

This approach aligns with recommendations for referral in related dermatological conditions such as atopic eczema, where specialist input is advised if the condition is severe, unresponsive to treatment, or complicated by other factors ².