Sunburn is a type of skin damage that results from excessive exposure to the sun’s ultraviolet (UV) rays. It typically presents as a red, painful skin that feels hot to the touch. Sunburn can occur in less than 15 minutes, but the severity of the burn might not be apparent until a few hours later. Symptoms of sunburn include redness, swelling, and, in severe cases, blistering and peeling. Continuous exposure to sun without the right protection can lead to more serious conditions, like skin cancer. It is therefore always advised to use protective measures like sunscreen, hats, and clothing when exposed to the sun for extended periods.

Sun burn

Causes of Sunburn

Sunburn is primarily caused by overexposure to ultraviolet (UV) radiation from the sun. When the skin is exposed to UV rays, the body attempts to protect itself by producing more melanin, the pigment that gives skin its color. This leads to a tan. However, the body’s protective mechanisms can become overwhelmed with excessive exposure, leading to sunburn.

There are two types of UV radiation – UVA and UVB. Both types can cause sunburn, but UVB is more likely to cause sunburn than UVA. These rays harm the skin’s outer layers, causing immediate damage like sunburn.

Factors that can increase the risk of getting a sunburn include having fair or sensitive skin, being in high altitude places (where the sun’s rays are stronger), and being in areas closer to the equator where the sun is most direct. Certain medications can also make your skin more sensitive to UV rays, increasing the likelihood of sunburn.

Applying insufficient sunscreen, not reapplying sunscreen after swimming or perspiring heavily, or not applying it often enough can also contribute to sunburn. Lastly, even on cloudy days, up to 80% of UV rays can penetrate the skin, so it’s possible to get sunburned even when the sun is not fully visible.

Risk Factors of Sunburn

Sunburn is a dangerous skin reaction to ultraviolet (UV) radiation, typically from the sun’s rays, resulting in skin redness, warmth, pain, and damage. There are several risk factors that can increase your chances of getting sunburn. They include:

1. Skin Type: Lighter-skinned individuals are at higher risk for sunburn as they have less melanin, the skin’s protective pigment.

2. Geographic Location: The closer you are to the equator, the stronger the UV rays and the greater the risk for sunburn.

3. Altitude: UV exposure increases with altitude because there is less atmosphere to absorb the harmful rays.

4. Time of Day: The sun’s rays are strongest between 10 a.m. and 4 p.m., increasing the risk of sunburn.

5. Certain Medications: Some antibiotics, birth control pills, and medications for conditions like acne and heart disease can make your skin more sensitive to sunlight.

6. Use of Tanning Beds: Tanning beds emit UV rays that can be stronger than the sun, leading to increased risk of sunburn.

7. Exposure to Reflections: Snow, water, and sand can intensify sunlight, making you susceptible to sunburn.

8. Neglecting Sun Protection: Failure to use sunscreen, wear protective clothing, or seek shade during peak sunlight hours also increases sunburn risk.

9. Previous History of Sunburn or Skin Cancer: Having had sunburns in the past or a history of skin cancer makes it more likely to experience sunburn again.

10. Prolonged sun exposure: The longer your skin is exposed to UV rays without protection, the higher the risk of getting sunburned.

It’s important to take preventive measures to reduce your risk of sunburn. Always use a sunscreen with a high SPF, wear protective clothing and hats, use sunglasses that block UV rays, and try to stay out of the sun during peak hours.

Signs and Symptoms of Sunburn

Sunburn occurs when the skin gets damaged due to excessive exposure to the harmful ultraviolet (UV) rays of the sun. The signs and symptoms of sunburn can vary from person to person, but some common ones include:

1. Redness and inflammation of skin: The most obvious and visible symptom is skin turning red or in severe cases, even purple, depending upon skin type and intensity of sunburn.

2. Pain and tenderness: The affected skin feels warm or hot to touch, followed by pain and tenderness.

3. Swelling: In some cases, sunburn may also cause swelling.

4. Skin peeling: After a few days, skin may start to peel and flake off. Underneath the peeling skin, there might be a new layer of skin that is usually more tender than the rest.

5. Blisters: In more severe cases of sunburn, small, fluid-filled blouts or blisters can form which can be painful.

6. Fever and Chills: Sunburn may be accompanied by fever, chills, nausea, or weakness if the person has been exposed to sun for a long time and is dehydrated.

7. Headache: Some people may also experience headaches due to the sun exposure.

8. Dehydration: Symptoms of dehydration such as dizziness, rapid heartbeat and rapid breathing, may be witnessed with severe sunburns.

These symptoms usually appear within a few hours after sun exposure and typically peak within 24-36 hours. If the sunburn is severe or the person feels unwell, it may be necessary to seek medical attention as it can lead to sun poisoning, a more severe form of sunburn.

Diagnosis Sunburn

Sunburn is a form of skin damage that occurs as a result of overexposure to the sun’s ultraviolet (UV) rays. When your skin is exposed to these rays for a prolonged period without sufficient protection, the UV rays can damage the skin cells’ DNA, leading to redness, inflammation, and pain, which we commonly identify as sunburn.

Symptoms of sunburn can manifest differently among individuals but can include reddening of the skin (erythema), discomfort or pain, sensation of heat, skin peeling after a few days, and in severe cases, can lead to blisters, dehydration, and even fever.

Repeated overexposure and repeated sunburns can accelerate the skin’s aging process, causing it to look old and leathery. Moreover, it could significantly increase the risk of skin cancer, particularly melanoma, which is a serious type of skin cancer. Therefore, it’s important to take preventive measures to protect your skin from sunburn.

Treatment of Sunburn

Sunburn treatment usually aims at relieving discomfort and reducing inflammation. Here are some steps you can take if you’ve been sunburned:

1. Cool Down: Take frequent cool baths or showers to help relieve the pain. As soon as you get out of the bathtub or shower, gently pat yourself dry, but leave a little water on your skin. Then, apply a moisturizer to help trap the water on your skin.

2. Moisturize: Use a moisturizer that contains aloe vera or soy to help soothe sunburned skin. Avoid using products containing petroleum or oil which can trap the heat and make the condition worse.

3. Over-The-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and swelling associated with sunburn.

4. Hydrate: Drink plenty of water and fluids to replenish lost hydration due to the sunburn, and to help the body recover faster.

5. Protect from Further Sun Exposure: Ensure that your skin is covered while going outside to prevent further sun damage. If you can’t stay indoors, try to keep the affected area covered from the sun as much as possible, or use a sunscreen that has a high SPF rating.

If the sunburn is extensive or leads to blistering, extreme pain, or symptoms like fever, chills, or confusion, you should seek medical attention immediately. In severe cases, special burn dressings may be needed, or antibiotics may be recommended to prevent or treat an infection.

Please note that it’s always best to prevent sunburn in the first place by avoiding the sun during peak hours, using a high SPF sunscreen, and wearing protective clothing.

Lastly, constant care and attention should be given to areas exposed to sunburn even after recovery because such areas are more prone to skin damage and thus, skin cancer. It is advisable to take precautionary measures consistently.

Medications commonly used for Sunburn

There are a range of medications and remedies that are commonly used to treat sunburn. Here are a few:

1. Over-the-counter pain relievers: Non-prescription pain relievers like Ibuprofen or Aspirin can help to reduce pain and inflammation caused by sunburn.

2. Topical creams and gels: Aloe Vera gel, hydrocortisone cream, or other types of soothing skin ointments, are often used to ease the discomfort of sunburn. They provide a cooling sensation and help moisturize the skin to prevent peeling.

3. Over-the-counter anti-itch medications: Creams and lotions containing ingredients like calamine or diphenhydramine (Benadryl) can help alleviate itching caused by sunburn.

4. Cold compress: Applying a cold, damp cloth to the sunburned area can soothe the burn and help reduce inflammation.

5. Rehydration: Sunburn draws fluid to the skin’s surface and away from the rest of the body. Drinking extra water can prevent dehydration.

6. Lotions with Lidocaine: Topical lidocaine can numb the area providing temporary relief.

7. Vinegar: Some people suggest diluted apple cider vinegar as a remedy for pain relief.

Remember, it’s important to consult a healthcare provider before starting any new medications or treatments. Also, the best treatment for sunburn is prevention. Always protect your skin from harmful UV rays by using sunscreen, wearing protective clothing, and avoiding peak sun hours.

Prevention of Sunburn

Preventing sunburn involves the following steps:

1. Avoid Direct Sunlight: Try to avoid staying under the sun during peak hours (between 10 am and 4 pm), as this is when the sun’s UVB radiation is the most intense.

2. Wear Sunscreen: Use broad-spectrum sunscreen with an SPF of 30 or higher, even on cloudy days. This will protect your skin from both UVA and UVB rays. Reapply sunscreen every two hours, or immediately after swimming or sweating heavily.

Sun burn

3. Protective Clothing: Wearing sun-protective clothing including hats and UV-blocking sunglasses can help prevent sunburn. Long-sleeved shirts and trousers work better than short-sleeved shirts and shorts.

4. Seek Shade: Whenever possible, stay under an umbrella, tree, or other forms of shade.

5. Use Extra Caution Near Water, Snow, and Sand: Reflected sunlight from these surfaces can increase your risk of sunburn.

6. Check the UV Index: This is usually available in weather forecasts or on weather websites. A higher index number means higher risk of getting sunburned.

7. Don’t Forget about Your Lips: Apply a lip balm with an SPF of at least 15.

8. Be Aware of Medications: Some medications can make you more sensitive to the sun, increasing the chances of getting sunburned. These include certain antibiotics, anti-inflammatory drugs, and antifungals.

Remember that prevention is much better than treatment. Protecting your skin from the sun can not only prevent sunburn, but also significantly reduce your risk of skin cancer.

FAQ’s about Sunburn

Here are few frequently asked questions (FAQs) about sunburn:

1. What is a sunburn?
Sunburn is a significant reaction of the skin to ultraviolet (UV) radiation from the sun or artificial sources, like tanning beds. The skin turns red, swollen and painful upon exposure to this radiation.

2. What are the symptoms of sunburn?
Sunburn symptoms may include red, warm, and tender skin, mild to severe pain, skin that may peel after a few days, blisters, and severe reactions like fever, chills, nausea, or rash.

3. How long does it take for a sunburn to fully appear?
Sunburn begins to appear within a few hours after sun exposure and may take 24 hours or longer to fully appear.

4. Can sunburns cause long-term effects?
Yes, repeated sunburn can lead to long-term skin harm such as premature skin aging and skin cancer, particularly melanoma.

5. How can you treat sunburn?
Mild sunburn can be treated at home by staying out of the sun, drinking plenty of water to prevent dehydration, applying cool compresses, using aloe vera or hydrocortisone creams. For severe cases, medical attention may be required.

6. How can you prevent sunburn?
Sunburn can be prevented by limiting sun exposure, especially during peak sun hours (10 a.m. to 4 p.m.), wearing protective clothing and sunglasses, using a broad-spectrum sunscreen with an SPF of 30 or higher, and reapplying sunscreen every two hours or immediately after swimming or sweating.

7. Should I see a doctor if I have a sunburn?
Most sunburns can be treated at home, but if you experience severe pain, blisters, headache, confusion, faintness, or nausea, you should seek medical attention immediately.

8. Can I get a sunburn on a cloudy day?
Yes, up to 80% of the sun’s UV rays can pass through the clouds, so it’s possible to get a sunburn even on a cloudy day.

9. Does a sunburn turn into a tan?
While a sunburn can eventually fade into a tan, it’s not a safe or effective way to get tanned. Any change in your skin color from the sun indicates damage from UV rays.

10. How long does a sunburn typically last?
Mild sunburn will continue for approximately 3 days. More severe sunburn, which results in painful blisters, can last for a week or more.

Please note, it’s always recommended to consult with a healthcare professional or a dermatologist to get tailored advice according to your specific symptoms and conditions.

Useful links

Sunburn is basically skin damage caused by the sun’s ultraviolet (UV) rays. When these rays hit your skin, they can damage the DNA in your skin cells, leading to painful, red, and sometimes blistered skin.

Here are some useful journal articles on sunburn:

  1. https://pubmed.ncbi.nlm.nih.gov/37201363/
  2. https://pubmed.ncbi.nlm.nih.gov/27618035/

Remember: the best ways to protect yourself from sunburn are to limit your sun exposure between 10 a.m. and 4 p.m., when the sun is strongest; to wear protective clothing; and to apply a broad-spectrum sunscreen with a sun protection factor (SPF) of 30 or higher.

Complications of Sunburn

Sunburn is more than just temporary discomfort after a day at the beach. It can have significant long-term effects. Here are some of the complications related to sunburn:

1. Skin Damage: Repeated sunburn can lead to long-term skin damage, including dark spots, rough patches, wrinkles, and deranged skin cells, which can make the skin look older.

2. Skin Cancer: Chronic exposure to sunlight increases the chance of getting skin cancer, especially for people with light skin, hair, and eyes or a history of sunburns. Repeated sunburns, especially in childhood, increase the risk of the most deadly of skin cancers, melanoma.

3. Eye Damage: Exposure to ultraviolet (UV) light can damage the eyes, leading to conditions such as photokeratitis, cataracts, and possibly macular degeneration.

4. Immune System Complications: Sunburn can also affect your immune system. The skin is a significant component of the immune system, and excessive sun exposure can decrease immune function, leaving you more susceptible to infections.

5. Dehydration: Sunburns can lead to fluid loss through the skin, which can cause symptoms of dehydration including headaches, thirst, decreased urination, and dizziness.

6. In severe cases, sunburn can cause sun poisoning or photosensitivity, which is characterized by fever, chills, nausea, rapid heartbeat, and in extreme situations, fainting spells, and even shock.

7. Colors and Texture Change: Repeated sunburns can permanently alter the color and texture of the skin.

8. Allergic reaction: Some individuals may experience allergic reactions to sunburn that include itching, bumps, hives, and blisters.

Prevention of sunburn is generally achieved through protecting the skin with clothing or sunscreen, and avoiding the sun during peak hours (10am – 4pm).

Home remedies of Sunburn

1. Aloe Vera: Aloe vera is a plant famous for its healing properties, especially for sunburns. You can apply aloe vera gel directly onto the sunburned skin for relief.

2. Cold Compress: Apply a cold damp towel on your skin for 15-20 minutes a few times every day. You can also take cool but not ice-cold baths or showers to help soothe the sunburn.

3. Hydrate: Sunburns can dehydrate you, so it’s important to drink plenty of water and keep your body hydrated.

4. Over-the-counter (OTC) Medication: Non-prescription anti-inflammatory medications such as ibuprofen or naproxen can help with the pain and reduce swelling.

5. Moisturize: After a cold shower or bath, moisturize your skin while still slightly damp. This can help ease dryness and peeling. Look for creams or lotions with aloe vera, soy, or calamine.

6. Cucumbers: Cucumbers have natural antioxidant and analgesic properties. Chill cucumbers, then mash in a blender to create a paste, and apply to affected areas.

7. Oatmeal: Oatmeal can soothe the skin and reduce irritation. You can make an oatmeal bath by adding a cup of oatmeal to a bath filled with lukewarm water.

Remember, these remedies might ease symptoms, but they don’t replace the need for medical advice. If you notice severe symptoms such as blisters, fever, and serious pain, consult your doctor as soon as possible. Also, the best treatment for sunburn is preventing it in the first place. Always apply a broad-spectrum, water-resistant sunscreen with an SPF of 30 or higher and reapply every two hours as long as you’re in the sun.

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Skin Care,

Last Update: January 5, 2024