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Adult-onset Hydroa Vacciniforme: A Rare Occurrence or a Lymphoma Premonition?

A 42‐year‐old male patient, farmer by occupation, reported to dermatology outpatient department with history of severe burning sensation and swelling limited to face and scalp on sun exposure. This was followed by painful skin eruptions, which further progressed to become fluid filled within 3 to 5 days, followed by brown coloured scab formation and eventually depressed scars. The patient has been experiencing similar recurrent episodes since last 8 years, from February to August every year. The patient reported mild malaise and lethargy during vesicular phase of illness, but no other symptoms like fever or chills, burning in eyes, arthralgia, weight loss, easy fatiguability, bruising tendency, abdominal discomfort, or features suggestive of lymphoproliferative etiology. There was no family history of similar illness and patient denied intake of any photosensitizing drug.