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Sunburn treatment: What works?
By Mayo Clinic staffOriginal Article: http://www.mayoclinic.com/health/sunburn-treatment/AN01423

- With Mayo Clinic dermatologist
Lawrence E. Gibson, M.D.
read biographyclose windowBiography of
Lawrence E. Gibson, M.D.
Lawrence E. Gibson, M.D.
Dr. Lawrence Gibson likens bad health information on the Internet to food poisoning.
Consumers, he says, need to be aware and will find reliable information at MayoClinic.com.
Dr. Gibson, a Covington, Ky., native, has been with Mayo Clinic since 1986 and is board certified in dermatology, dermatopathology and immunodermatology. He is a professor of dermatology at Mayo Medical School and a consultant in the Department of Dermatology.
Dr. Gibson has served as the fellowship director for dermatopathology and as chair of the Laboratory Division in the Department of Dermatology. He is especially interested in inflammatory disorders of the skin, including vasculitis, and in lymphoma affecting the skin.
"Electronic information has become a staple in the diet of a health conscious society," he says. "It's important to avoid misinformation and provide a credible source for health information. Using this analogy, it's critical to avoid 'indigestion' or, worse yet, 'food poisoning' by the ingestion of tainted information."
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- Sunburn treatment: What works?
Question
Sunburn treatment: What works?
What's the most effective sunburn treatment? When does sunburn require medical attention?
Answer
from Lawrence E. Gibson, M.D.
Unfortunately, there's no fast-fix sunburn treatment. Once you have sunburn, the damage is done — although it may take 12 to 24 hours after sun exposure to know the full extent and severity of sunburn, and several days or more for your skin to begin to heal.
In the meantime, the most effective sunburn treatment simply helps ease your discomfort:
- Keep it cool. Apply cold compresses — such as a towel dampened with cool water — to the affected skin. Or take a cool bath.
- Keep it moist. Apply aloe or moisturizing cream to the affected skin. Avoid products containing alcohol, which can further dry out skin. Beware of sunburn treatment products containing anesthetics, such as benzocaine. There's little evidence that these products are effective. In some cases, they may even irritate the skin. Benzocaine has been linked to a rare but serious, sometimes deadly, condition that decreases the amount of oxygen that the blood can carry. Don't use benzocaine in children younger than age 2 without supervision from a health care professional, as this age group has been the most affected. If you're an adult, never use more than the recommended dose of benzocaine and consider talking with your doctor.
- Leave blisters intact. If blisters form, don't break them. You'll only slow the healing process and increase the risk of infection. If needed, lightly cover blisters with gauze.
- Take an over-the-counter pain reliever. If needed, take anti-inflammatory medication — such as aspirin or ibuprofen (Advil, Motrin, others) — according to the label instructions until redness and soreness subside. Don't give children or teenagers aspirin. It may cause Reye's syndrome, a rare but potentially fatal disease.
- Treat peeling skin gently. Within a few days, the affected area may begin to peel. This is simply your body's way of getting rid of the top layer of damaged skin. While your skin is peeling, continue to use moisturizing cream.
Consult a doctor for sunburn treatment if:
- Severe sunburn covers a large portion of your body with blisters
- Sunburn is accompanied by a high fever or severe pain
- Severe sunburn doesn't begin to improve within a few days
To prevent future episodes of sunburn, use sunscreen frequently and liberally. Select a broad-spectrum product — one that provides protection against both ultraviolet A (UVA) and ultraviolet B (UVB) radiation — with a sun protection factor (SPF) of at least 15. If you take medications that make sunburn more likely, be especially careful. A common example is tetracycline taken orally for acne. Common sense counts, too. Cover up while you're outdoors, and stay in the shade as much as possible.
Next questionTanning: Does a 'base tan' prevent sunburn?
- Wolff K, et al. Photosensitivity, photo-induced disorders, and disorders by ionizing radiation. In: Wolff K, et al. Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology. 6th ed. New York, N.Y.: McGraw-Hill; 2009. http://www.accessmedicine.com/content.aspx?aID=5186067&searchStr=sunburn#5186067. Accessed June 30, 2010.
- Fritz DA. Burns and smoke inhalation. In: Stone KC, et al. Current Diagnosis & Treatment: Emergency Medicine. 6th ed. New York, N.Y.:McGraw-Hill; 2008. http://www.accessmedicine.com/content.aspx?aID=3113624&searchStr=sunburn. Accessed June 30, 2010.
- Benzocaine topical products: Sprays, gels and liquids — risk of methemoglobinemia. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm250264.htm. Accessed Apr. 8, 2011.

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