How do you manage polymorphic light eruption (PMLE)?

It depends on the severity and frequency of the case but typically:

1. strict photoprotection with sunscreen, UPF clothing, etc.,
2. topical steroids bid starting the day before planned sun exposure and continuing for a week or two,
3. intermittent prednisone course (best for my patients who flare the same ...

Heliocare prophylactically. I’ve found it to be quite helpful for patients who don’t want to be on plaquenil.

I agree with the above but will add that hardening with nbUVB leading in to spring and/or vacations in sunny climates can be extremely helpful.