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Severe lichenified eczema with sparing under the collar area due to the photoprotection of double fabric

Chronic actinic dermatitis - thickened eczema with sparing in the relatively photoprotected area behind and under the ear

Chronic actinic dermatitis on the dorsal hand - note the cut off at the wrist and relative sparing between the fingers (CAD-patient1)

Chronic actinic dermatitis on the dorsal hand - note the cut off at the wrist and relative sparing between the fingers (CAD-patient1)

Chronic actinic dermatitis on the dorsal hand - note sparing of the web spaces

Lichenified chronic actinic dermatitis on the dorsal hands

Chronic actinic dermatitis of the neck - note sparing of the light-shielded retroauricular areas (CAD-patient2)

Chronic actinic dermatitis on the forehead (CAD-patient2)

Chronic actinic dermatitis over the nose and cheeks - there may be sparing in the photoprotected sites under the chin and behind the ears (CAD-patient3)

Redness and thickening of eczematous skin on the forehead due to chronic actinic dermatitis in a Maori woman (CAD-patient3)

Redness and thickening of eczematous skin on the cheeks and nose due to chronic actinic dermatitis in a Maori woman (CAD-patient3)

Redness and thickening of eczematous skin on the forehead, cheeks and nose due to chronic actinic dermatitis in a Maori woman (CAD-patient3)

Chronic actinic dermatitis on the dorsal hand - the palms and web spaces show some sparing (CAD-patient3)

Chronic actinic dermatitis on the dorsal hand - the palms and web spaces show some sparing (CAD-patient3)

Chronic actinic dermatitis on the lower legs - an uncommon location as it is rare in women, and men will tend to photoprotect by wearing trousers (CAD-patient3)

Lichenified eczema over the forehead extending to the hairline due to chronic actinic dermatitis (CAD-patient4)

Chronic actinic dermatitis on the dorsal hands with a cut off at the wrists - there is often sparing between the fingers and webs (CAD-patient4)

Patches and plaques of eczema on the forehead due to chronic actinic dermatitis

Papules and plaques of eczema on the neck due to chronic actinic dermatitis - note the sparing below and behind the ear

Chronic actinic dermatitis on the dorsal hands with a cut off at the wrists

Lichenified chronic actinic dermatitis on the hands; there is sparing of the photoprotected palmar skin

Thickened lichenified plaques due to chronic actinic dermatitis - note the cut-off at the neck where the skin is protected by the shirt

Severe chronic actinic dermatitis - note the sparing within the light-shielded skin crease

Chronic actinic dermatitis - note the cut-off at the neck line

Chronic actinic dermatitis - note sparing in the skin creases and below the ear

Severe chronic actinic dermatitis with sparing below the neck line and in the skin creases

Pigmented chronic actinic dermatitis - note the cut-off at the neck line, and sparing below and behind the ears