Polymorphous light eruption




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Sun rash: Causes and prevention

By Mayo Clinic staff

Original Article:  http://www.mayoclinic.com/health/sun-rash/AN02071
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  • With Mayo Clinic dermatologist

    Lawrence E. Gibson, M.D.

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Question

Sun rash: Causes and prevention

My son gets a red rash on his arms after being outside in the sun. What causes this and what can I do to prevent it?

Answer

from Lawrence E. Gibson, M.D.

Sun rash and sun allergy are terms often used to describe a number of conditions in which an itchy red rash occurs on skin that's been exposed to sunlight. The most common form of sun rash is polymorphic light eruption, also known as sun poisoning.

Some people have a hereditary type of sun allergy, while others develop signs and symptoms only when triggered by another factor — such as certain types of medications or skin exposure to certain plants, such as limes or wild parsnip.

Mild cases of sun rash may resolve without treatment. More-severe cases may require steroid creams or pills. People who have a severe sun allergy may need to take preventative measures, such as:

  • Limit exposure. Avoid spending time in the sun, especially when the sun's rays are most intense — between 10 a.m. and 4 p.m.
  • Use sunscreen. Use a high-SPF sunscreen that specifically blocks both ultraviolet A and ultraviolet B rays. Apply sunscreen generously, and reapply every two hours — or more often if you're swimming or perspiring.
  • Cover up. Wear a broad-brimmed hat and cover your arms and legs with clothing that's tightly woven or specifically designed to protect from the sun.
References
  1. Elmets CA. Photosensitivity disorders (photodermatoses): Clinical manifestations, diagnosis and treatment. http://www.uptodate.com/index. Accessed Sept. 6, 2012.
  2. Habif TP. Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 5th ed. Edinburgh, U.K.; New York, N.Y.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-7234-3541-9..X0001-6--TOP&isbn=978-0-7234-3541-9&uniqId=230100505-57. Accessed Sept. 6, 2012.
  3. Auerbach PS. Wilderness Medicine. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2011. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4377-1678-8..00014-3--s0235&isbn=978-1-4377-1678-8&sid=1328139176&uniqId=343465713-3#4-u1.0-B978-1-4377-1678-8..00014-3--s0240. Accessed Sept. 6, 2012.
  4. Elmets CA. Overview of cutaneous photosensitivity: Photobiology, patient evaluation and photoprotection. http://www.uptodate.com/index. Accessed Sept. 6, 2012.
  5. How do I prevent skin cancer? American Academy of Dermatology. http://www.aad.org/spot-skin-cancer/understanding-skin-cancer/how-do-i-prevent-skin-cancer. Accessed Sept. 6, 2012.
  6. AskMayoExpert. What are protective and prophylactic measures for polymorphic light eruption (PMLE)? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
AN02071 Nov. 1, 2012

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