Who is at risk of sunburn. How can you prevent sunburn. What are the signs and symptoms of sunburn. How to treat sunburn at home. When should you seek medical attention for sunburn. How to perform a self-examination for skin cancer.

Understanding Sunburn: Causes and Risk Factors

Sunburn is a common condition that affects people of all ages, particularly those with lighter skin tones. However, it’s important to note that individuals with darker skin are not immune to sunburn or its potential long-term consequences.

What causes sunburn? Sunburn occurs when the skin is overexposed to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. The UV rays damage the DNA in skin cells, leading to inflammation and the characteristic redness associated with sunburn.

Are certain individuals more susceptible to sunburn? Yes, some people are at higher risk of developing sunburn:

• People with fair skin, light hair, and light eyes
• Individuals who spend a lot of time outdoors
• Those taking certain medications that increase photosensitivity
• People living at high altitudes or near the equator
• Individuals with a history of sunburn

While those with darker skin have more melanin, which provides some natural protection against UV rays, it’s crucial to understand that everyone can experience sunburn and its potential long-term effects, including skin cancer.

Recognizing the Signs and Symptoms of Sunburn

Identifying sunburn early can help you take appropriate measures to alleviate discomfort and prevent further damage. What are the telltale signs of sunburn?

• Redness: This can appear as soon as 4 hours after sun exposure
• Pain and tenderness in the affected area
• Swelling
• Itching
• Blistering (in severe cases)
• Peeling skin (usually begins 3-8 days after the burn)

In more severe cases of sunburn, you might experience additional symptoms such as:

• Fever and chills
• Nausea
• Dizziness
• Dehydration

How long does sunburn typically last? The duration of sunburn can vary depending on its severity. Mild sunburn may heal within 3-5 days, while more severe cases can take several weeks to fully resolve. It’s important to note that the visible effects of sunburn may fade, but the damage to your skin cells can persist long after the redness disappears.

Effective Sunburn Prevention Strategies

Preventing sunburn is crucial for maintaining healthy skin and reducing the risk of skin cancer. What are some effective ways to protect yourself from harmful UV rays?

1. Use Sunscreen Properly

Choosing and applying sunscreen correctly is essential for optimal protection:

• Select a broad-spectrum sunscreen with an SPF of at least 30
• Apply sunscreen generously 30 minutes before sun exposure
• Reapply every 2 hours or after swimming or sweating
• Don’t forget often-missed areas like ears, neck, and feet

2. Seek Shade

Minimize direct sun exposure, especially during peak UV hours (typically 10 AM to 3 PM). Remember that UV rays can penetrate clouds and reflect off surfaces like water and snow, so protection is necessary even on overcast days.

3. Wear Protective Clothing

Cover up with tightly woven, loose-fitting clothing. Some tips for choosing sun-protective attire:

• Opt for dark colors, which generally offer more protection than light colors
• Look for clothing with a UPF (Ultraviolet Protection Factor) rating
• Wear a wide-brimmed hat to protect your face, neck, and ears
• Use UV-blocking sunglasses to protect your eyes and surrounding skin

4. Be Mindful of Medications

Some medications can increase your skin’s sensitivity to sunlight. If you’re taking any medications, consult with your healthcare provider about potential photosensitivity and take extra precautions if necessary.

5. Avoid Tanning Beds

Tanning beds emit harmful UV radiation and significantly increase your risk of skin damage and skin cancer. It’s best to avoid them entirely and opt for safer alternatives if you desire a tanned appearance.

Home Remedies and Self-Care for Sunburn Relief

If you find yourself with a sunburn despite your best prevention efforts, there are several home remedies and self-care strategies you can employ to alleviate discomfort and promote healing.

1. Cool the Skin

How can you soothe sunburned skin? Try these methods:

• Take cool baths or showers
• Apply cool compresses to the affected areas
• Use cool milk soaks to help soothe and cool the skin

2. Moisturize

Keeping your skin hydrated can help reduce peeling and discomfort. Use a gentle, fragrance-free moisturizer or aloe vera gel. Avoid petroleum-based products, which can trap heat and worsen the burn.

3. Stay Hydrated

Sunburn can lead to fluid loss through the skin. Drink plenty of water and other non-alcoholic beverages to prevent dehydration.

4. Manage Pain and Inflammation

Over-the-counter pain relievers such as ibuprofen or naproxen can help reduce pain and inflammation. Acetaminophen can also help with pain but doesn’t address inflammation.

5. Protect Blistered Skin

If blisters form, don’t pop them as this can lead to infection. Cover them with a light, breathable gauze if necessary. If blisters break on their own, clean the area gently and apply an antibiotic ointment.

6. Avoid Further Sun Exposure

Keep sunburned skin out of the sun until it’s fully healed. If you must go outdoors, cover the affected areas with clothing or stay in the shade.

When to Seek Medical Attention for Sunburn

While most cases of sunburn can be treated at home, there are situations where professional medical care is necessary. When should you consult a healthcare provider for sunburn?

• Severe pain or blistering over a large portion of your body
• Signs of infection (increased pain, swelling, pus, or red streaks leading from the burn)
• Fever or chills accompanying the sunburn
• Severe dehydration symptoms (dizziness, rapid heartbeat, extreme thirst)
• Signs of heat exhaustion or heat stroke (headache, fainting, nausea, rapid breathing)
• Sunburn in an infant under 1 year old

How will a healthcare provider treat severe sunburn? Treatment may include:

• Prescription-strength pain relievers
• Topical steroid creams to reduce inflammation
• Oral steroids for extensive or severe burns
• Intravenous fluids for dehydration
• Antibiotics if there’s a secondary infection

Remember, seeking timely medical attention can prevent complications and ensure proper healing of severe sunburn.

Long-Term Effects of Sunburn and UV Exposure

While the immediate effects of sunburn are uncomfortable, the long-term consequences of repeated sun damage can be far more serious. What are the potential long-term effects of excessive UV exposure?

1. Premature Aging

Chronic sun exposure can lead to photoaging, characterized by:

• Fine lines and wrinkles
• Age spots or liver spots
• Uneven skin texture
• Loss of skin elasticity

2. Increased Risk of Skin Cancer

UV radiation is a known carcinogen. Repeated sunburns, especially during childhood and adolescence, significantly increase the risk of developing skin cancer later in life. The three main types of skin cancer associated with UV exposure are:

• Basal cell carcinoma
• Squamous cell carcinoma
• Melanoma (the most dangerous form of skin cancer)

3. Eye Damage

UV radiation can also harm your eyes, potentially leading to:

• Cataracts
• Macular degeneration
• Pterygium (tissue growth on the white of the eye)
• Photokeratitis (essentially a sunburn of the cornea)

4. Immune System Suppression

Excessive UV exposure can suppress the skin’s immune function, making it more vulnerable to infections and potentially interfering with the effectiveness of immunizations.

Performing Regular Skin Self-Examinations

Given the potential long-term risks associated with sun exposure, it’s crucial to monitor your skin for any changes that could indicate skin cancer. How can you perform an effective skin self-examination?

1. Choose the Right Time and Place

Conduct your self-exam in a well-lit room after a bath or shower. Use a full-length mirror and a hand mirror to examine hard-to-see areas.

2. Examine Your Entire Body

Follow these steps for a thorough examination:

1. Check your face, neck, ears, and scalp (use a hairdryer to part your hair for a better view)
2. Examine your hands, including palms, between fingers, and under nails
3. Scan your arms, elbows, and underarms
4. Look at your torso, including chest, belly, and under breasts for women
5. Use mirrors to check your back, buttocks, and back of legs
6. Sit down to examine your legs, including soles of feet and between toes

3. Know What to Look For

Remember the ABCDE rule when examining moles:

• A – Asymmetry: One half doesn’t match the other
• B – Border: Irregular, jagged, or blurred edges
• C – Color: Varied colors within the same mole
• D – Diameter: Larger than 6mm (about the size of a pencil eraser)
• E – Evolving: Changes in size, shape, or color over time

Additionally, be aware of any new growths, sores that don’t heal, or changes in existing moles or freckles.

4. Keep a Record

Consider taking photos of your skin to track any changes over time. This can be particularly helpful for areas that are difficult to see or remember.

5. Consult a Professional

If you notice any concerning changes or have a history of skin cancer, schedule regular check-ups with a dermatologist. They can perform a more thorough examination and address any concerns you may have.

By incorporating regular self-examinations into your routine and staying vigilant about sun protection, you can significantly reduce your risk of skin cancer and maintain healthier skin overall.

Sunburn Condition, Treatments and Pictures for Adults

Who’s At Risk?

Sunburn occurs in people of all ages, particularly in individuals with lighter skin colors. People with darker skin colors have more pigment (melanin), which is protective, but sunburn and/or tanning of the skin can occur, except in the darkest skin colors, and no one is immune to developing skin cancer.

Signs & Symptoms

Sunburn may occur on any sun-exposed area. Sunburn appears as immediate redness as soon as 4 hours after exposure, followed by deep redness and blister formation in severe sunburn. Long-lasting redness may be present for weeks after the actual burn.

Self-Care Guidelines

If you get a sunburn, further direct sun exposure should be avoided for a few days. Cool water or cool milk soaks may help cool and soothe the affected areas. Acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) can help decrease the redness and pain. Be sure to drink lots of fluids while recovering from your sunburn.

Note that applying a greasy cream or ointment may actually make the pain worse by trapping heat on the skin.

Do not attempt to break any blisters that form; you can cover them with gauze, if necessary. If any blisters break on their own, a topical antibiotic ointment (eg, Neosporin) can be applied. A moisturizer can help with skin peeling afterward. Avoid topical products that end in “caine,” such as lidocaine, as they can sometimes further irritate the skin.

Prevention is very important. To reduce the risk of skin cancer later in life, it is important to prevent sunburns.

• Avoid direct sun in the middle of the day (10 AM to 3 PM). Be mindful that snow and water reflect light to the skin. Also note that clouds still let a lot of light through, so you can still be exposed to ultraviolet light even on cloudy days.
• Wear a hat with a wide brim. Baseball hats do not provide as much protection.
• Cover up with tightly woven clothing. Some manufacturers make specialty clothing with an ultraviolet protection factor (UPF) rating.
• Use sunscreen on all exposed skin areas, including the lips, before going outdoors. A broad-spectrum sunscreen (meaning it blocks UVB and UVA light) with an SPF of at least 30 is best. Apply sunscreen generously 30 minutes before going outdoors, and reapply every 2 hours or after swimming or sweating a lot. Sunscreen sprays tend not to provide a thick enough layer on your skin. Therefore, sunscreen lotions or creams are recommended.
• Avoid using tanning beds.

If you have had several sunburns, regularly perform self-examinations to look for signs of skin cancer. It is best to perform the examination in a well-lit area following a shower or bath. Use a full-length mirror with the added assistance of a hand mirror, as necessary. Using a hair dryer can help you examine any areas of skin covered by hair, such as your scalp.

• In front of a full-length mirror, inspect the front of your body, making sure to look at your neck, chest (including under breasts), legs, and genitals.
• With your arms raised, inspect both sides of your body, making sure to examine your underarms.
• With your elbows bent, examine the front and back of your arms as well as your elbows, hands, fingers, areas between your fingers, and fingernails.
• Inspect the tops and bottoms of your feet, the areas between your toes, and your toenails.
• With your back to the mirror and holding a hand mirror, inspect the back of your neck, shoulders, legs, and buttocks.
• Using a hand mirror, examine your scalp and face.

As you perform your monthly self-examination, familiarize yourself with the moles, freckles, and other marks on your body, and look for any changes in them from month to month, including changes in shape, size, color, and other changes, such as moles that bleed or itch.

Treatments

For severe burns, in addition to pain-relieving medicine (usually NSAIDs, such as ibuprofen [Tylenol] and naproxen [Aleve]), your health professional may prescribe a topical steroid cream or lotion, or prednisone, an oral steroid, to help reduce the inflammation.

Visit Urgency

Sunburn does not usually require a health professional’s care. If you have a fever, however, see a health professional because that indicates possible heatstroke. Additionally, if you are burned over a large portion of your body and there is severe discomfort and inflammation, seek medical attention. Also seek medical advice if there are signs of infection (such as swelling, pus, or blisters that turn yellow or red).

Trusted Links

• MedlinePlus: Sun Exposure
• Clinical Information and Differential Diagnosis of Sunburn

References

Bolognia J, Schaffer JV, Cerroni L. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018.

James WD, Elston D, Treat JR, Rosenbach MA. Andrew’s Diseases of the Skin. 13th ed. Philadelphia, PA: Elsevier; 2019.

Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology. 9th ed. New York, NY: McGraw-Hill Education; 2019.

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Last modified on May 16th, 2023 at 4:35 pm

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Sunburn (photodermatitis)

		(3812) 70-03-03 +7 913 147-78-27
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Sunburn (photodermatitis)

Sunburn is damage to the skin caused by excessive exposure to sunlight. All solar rays are conventionally divided into visible and invisible. Invisible rays have the main damaging effect on human skin. Depending on their length, these rays have an impact of varying intensity on human skin. The most carcinogenic are the so-called UVB rays. They are responsible for the defeat of the papillary dermis and the appearance of redness. On excessive exposure to ultraviolet rays, special skin cells, melanocytes, begin to actively synthesize melanin, which protects the skin from burns. The result of the accumulation of melanin in the skin is sunburn. It is logical that its saturation depends on the amount of melanin produced by melanocytes.

It must be remembered that there are numerous substances that, when used externally or ingested, can increase the skin’s sensitivity to sunlight. These are the so-called photosensitizers. In the annotations to the drugs, this side effect is necessarily noted. Baziron gel, corticosteroid external agents, Doxycycline capsules or other drugs from the tetracycline group, often used to stabilize a particular skin process, have this effect. Often, plants have a similar reaction; when human skin interacts with the juice of which, the so-called photophytodermatitis appears.

90 035

Photo of symptoms of sunburn: hyperemia

Most often, sunburns due to exposure to ultraviolet rays are manifested by redness and soreness of the skin, and vesicles may also appear, grouped into vesicles, with serous contents. Usually these symptoms appear on areas of the body that are not protected by clothing. In cases of the appearance of a burn surface with a peculiar pattern, it is necessary to exclude an additional pathological effect exerted on the skin by an external agent. In addition, a peculiar picture of skin damage is caused by the juices of herbs of various plants. In this case, the burn surface reflects the pattern of the leaves of these plants.

9 0013

Photos of sunburn symptoms: redness and blisters

When blisters, erosions, superficial ulcers appear on the skin of the hands and face under the influence of ultraviolet rays and minor injuries it is necessary to consult a doctor to rule out tardive cutaneous porphyria, which is the result of a deficiency of vitamin PP in the body. This is a disease in which porphyrins that accumulate in the skin as a result of improper metabolism in the liver are photosensitizers. Urinalysis helps in the diagnosis of this disease. In such patients, the urine is pink-red due to the large amount of uroporphyrins in it.

Prevention of sunburn

The principles of sunburn treatment come down to long and well-known rules. It is necessary to exclude exposure to sunlight on damaged skin. It is not enough just to cover the burnt skin with clothes. You need to know that synthetic fabric transmits up to 15%, and natural cotton up to 6% of ultraviolet rays. When clothes get wet, it is necessary to add up to 20% more rays that affect the skin under the fabric protecting it.

It is known that when human skin is exposed to sunlight, tissue damage and the formation of a large number of free radicals occur. To obtain an antioxidant effect (neutralization of free radicals), a sunbathing person needs to consume a large amount of green tea or pomegranate juice. For the same purpose, it is recommended to give preference to vegetables, fruits, legumes and nuts in the diet.

sunburn treatment

Non-steroidal anti-inflammatory drugs (paracetamol, ibuprofen) are prescribed for general disorders and chills. You can also take aspirin, a drug from the group of salicylates.

Vesicles with a large amount of exudate must be opened with all the rules of asepsis, for which it is recommended to consult a doctor.

Folk remedies for sunburn

In the treatment of sunburn, it is possible to use folk remedies. With reddening of the skin, it is possible to use wet-drying dressings with decoctions of herbs. The most suitable for these purposes are: oak bark, chamomile, succession, celandine, prepared according to the instructions for external use. In a decoction of herbs at room temperature, a gauze napkin folded in 6-8 layers is wetted, and the damaged part of the skin is covered for 15 minutes. The procedure is repeated for one and a half hours, followed by a 3-hour rest from the procedures, during which the affected skin must be saturated with a moisturizer. Thus, wet-drying dressings are performed 2-3 times during the day, until the signs of acute inflammation disappear.

Moisturizing creams used to restore the hydro-lipid film can be of the following dermatological lines: Uriage, Aven, Bioderma. These are: “Xemoz”, “Trikzera” and others.

On erosion, you can apply “Olazol”, “Dermazin” and other agents that are successfully used to treat burn surfaces.

From folk remedies, it is possible to use used tea bags on burned eyelids. The effect of this procedure resembles the positive effect of wet-drying dressings.

To reduce the friction of a sheet with a damaged surface, it is possible to use talcum powder sprinkled on the sheet.

Elevated position is recommended for burned feet.

Sunburned skin is very sensitive to irritants. When peeling occurs, it is necessary to apply moisturizers to such skin as actively as possible. Such skin should continue to be protected from excessive exposure to irritants and sunlight in the first place. Another burn in this place will occur much faster.

Creams to protect against sunburn

To protect skin previously damaged by the sun, it is necessary to use cosmetic products with a sun protection factor. Such a cream should contain SPF (Sun Protect Factor) against ultraviolet radiation type B and UVA (type A rays). The SPF factor found in creams can be from 5 to 70. Vitamin E is often added to such creams, which makes the skin more resistant to ultraviolet radiation.

When buying a sun protection cream, you need to evaluate the characteristics of your skin in relation to the sun. For example, people with white, almost instantly burning skin (redheads and blondes with fair skin and blue eyes) should use a cream with maximum protection (SPF70, UVA 16). If your eyes are brown with this type of skin, then after obtaining the first persistent tan, the level of protection in the cream can be reduced to SPF 20. People who usually do not experience problems when tanning should use a cream with an SPF of 6 to 15, since these creams not only protect but also soften the skin.

Correctly selected cream must be applied to the body in advance, not on the beach. First of all, it is necessary to protect the protruding parts of the body: nose, chest, shoulders. The cream must be applied in a thin layer, without rubbing. Even if the cream is waterproof, it must be reapplied after bathing, because after drying the skin with a towel, the protective film layer decreases.

Even when using a cream with a maximum protection factor, the rules for sunbathers should not change. It is recommended to be under direct sunlight only in the morning and evening hours. And of course, be sure to wear sunglasses. Their primary task is to protect the thin and delicate skin around the eyes and the retina.

Consultation with a dermatologist on sunburn

Why does the skin first turn red when exposed to sunlight?

Redness of the skin is a manifestation of melanin that has not had time to go through a certain stage of oxidation due to excessive exposure to ultraviolet rays on the skin.

Is it possible to speak only about the negative effect of ultraviolet radiation on the skin?

A moderate amount of ultraviolet light is necessary for the synthesis of vitamin D in the human body. It is necessary to regulate the absorption of phosphorus, calcium, as well as to heal wounds and strengthen the musculoskeletal framework. It is known that in order to maintain the required amount of vitamin D in the human body, it is enough to expose the face and hands to the sun for 5-10 minutes 2-3 times a week in the summer.

What diseases are treated with ultraviolet rays in therapeutic doses?

Atopic dermatitis, acne, eczema, winter form of psoriasis have a more stable remission against the background of ultraviolet light in suberythemic doses.

Is it true that a tan obtained in a solarium protects against sunburn during a holiday spent by the sea?

No. Such a tan is equivalent to applying cosmetics with a low sun protection factor (SPF 2-3). In addition, it has been reliably proven that solarium ultraviolet has a high carcinogenic effect (it provokes skin cancer).

Why do you need UV protection?

It is known that UVB rays not only trigger the formation of melanin in the skin, lead to its aging, but are also dangerous as a stimulation of most types of skin cancers. The danger of melanoma formation under the influence of UVA rays is also a well-known fact in medicine.

How to properly apply sunscreen?

The cream is applied in an even layer of 1-2 mm, do not rub in, rubbing in sunscreens reduces their effectiveness. This is due to the fact that the white foam that forms on the skin has a protective effect. It prevents the formation of free radicals on the skin as a result of exposure to harmful ultraviolet rays, type A (UVA).

Is it true that using oils when tanning reduces the risk of burns?

Yes, and in addition, the use of walnut or peach oils prevents the skin from drying out. But at the same time, it must be remembered that some essential oils contain components (bergamot, citrus fruits) that increase skin sensitivity and contribute to the appearance of photodermatitis.

Is it true that UV light increases the body’s resistance to colds?

Yes. It is known that under the influence of UV light, the amount of antibodies in the blood increases, and thus resistance to viral and bacterial infections increases. But, as you know, “The best is the enemy of the good.” Uncontrolled and excessive use of UVR leads to a decrease in immunity and increases the risk of colds.

Is UV light good for the elderly?

Yes. A moderate amount of sunlight helps with rheumatic and osteochondrosis symptoms, and also strengthens the musculoskeletal frame.

Who should especially not be exposed to direct sunlight?

First of all, this applies to people with a large number of moles and age spots. In pregnant women, excessive UV radiation may cause chloasma – hyperpigmented spots on the face. People with inflammatory diseases on the skin should not expose it to UV radiation. And of course, for children under 3 years old, it is better to protect the skin from active sunlight.

How effective is applying sour cream and kefir to reddened skin?

If only yogurt and sour cream are at hand, then reddened skin, without blisters, can be lubricated with these products. This will bring some relief, though not for long. Reduced pain, burning. When combined with skin flakes from kefir, a dense crust will begin to form, which will bring additional discomfort. This crust is washed off the skin with great difficulty. Therefore, there is no need to “reinvent the wheel”. Try to use all products for their intended purpose. In case of sunburn, give preference to ready-made medicines designed to restore the skin.

Dermatologist Tatyana Kuklina

From Medicalj

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Burn dry leaf, combining light with a magnifying glass

by Studio_OMG

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Sun

by viledevil

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Lantern with a burning candle on a log in the forest

by AtlasComposer

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Charcoal barbecue, burning fire in back garden

by merc67

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9021 4 Download

Wood fire pit on rocky beach at golden hour

by debbalba

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fire burns on wood logs on hot slag at dusk

by vvoennyy

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Burning stubble at sunset in a rice field.