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Family Health

Sun Allergy - Part 2

What you can do

Before your appointment, you may want to write a list of answers to the following questions:

  • How long after exposure to the sun did your symptoms begin?
  • What type of symptoms did you experience?
  • Have your symptoms worsened or gotten better?
  • Have you ever had these types of symptoms before?
  • What medications and supplements do you take regularly?

What to expect from your doctor

Your doctor is likely to ask you a number of questions. Examples may include:

  • What parts of your body are affected?
  • Exactly what does the affected skin look like?
  • How severe are your symptoms?
  • How long does your skin reaction last?
  • Do you have itching or pain?
  • Does your skin react just to direct sunlight or also to sunlight shining through window glass?
  • Does anyone else in your family have skin reactions to sunlight or other allergic skin conditions?
  • What products do you use on your skin?

Tests and diagnosis

In many cases, doctors can diagnose sun allergy simply by looking at your skin. But if the diagnosis isn't clear-cut, you may need tests to help identify what's going on. These tests may include:

  • Ultraviolet (UV) light testing. Also called phototesting, this exam is used to see how your skin reacts to different wavelengths of ultraviolet light from a special type of lamp. Determining which particular kind of UV light causes a reaction can help pinpoint which sun allergy you have.
  • Photopatch testing. This test shows whether your sun allergy is caused by a sensitizing substance applied to your skin before go into the sun. In the test, identical patches of common sun allergy triggers are applied directly to your skin, typically on your back. A day later, one of the areas receives a measured dose ultraviolet rays from a sun lamp. If a reaction occurs only on the light-exposed area, it's probably linked to the substance being tested.
  • Blood tests and skin samples. These tests usually aren't needed. However, your doctor may order one of these tests if he or she suspects your symptoms might be caused by an underlying condition such as lupus instead of a sun allergy. With these tests, a blood sample or a skin sample (biopsy) is taken for further examination in a laboratory.

Treatments and drugs

Treatment depends on the particular type of sun allergy you have. For mild cases, simply avoiding the sun for a few days may be enough to resolve the signs and symptoms.

Medications

Creams containing corticosteroids are available over-the-counter and in stronger prescription form. For a severe allergic skin reaction, your doctor might prescribe a short course of corticosteroid pills, such as prednisone.

The malaria medication hydroxychloroquine (Plaquenil) may ease symptoms of some types of sun allergies.

Therapy

If you have a severe sun allergy, your doctor might suggest gradually getting your skin used to sunlight each spring. In phototherapy, a special lamp is used to shine ultraviolet light on areas of your body that are often exposed to the sun. It's generally done a few times a week over a period of several weeks.

Lifestyle and home remedies

These steps may help relieve sun allergy symptoms:

  • Avoid sun exposure. Most sun allergy symptoms improve quickly, within hours to a day or two, when the affected areas are no longer exposed to sunlight.
  • Apply skin moisturizers. Moisturizing skin lotions can help relieve irritation caused by dry, scaly skin.
  • Use soothing skin remedies. Home remedies that may help include calamine lotion and aloe vera.

Prevention

If you have a sun allergy or an increased sensitivity to the sun, you can help prevent a reaction by taking these steps:

  • Limit your time in the sun. Stay out of the sun between 10 a.m. and 4 p.m. when the sun is brightest.
  • Avoid sudden exposure to lots of sunlight. Many people have sun allergy symptoms when they are exposed to more sunlight in the spring or summer. Gradually increase the amount of time you spend outdoors so that your skin cells have time to adapt to sunlight.
  • Wear sunglasses and protective clothing. Long-sleeved shirts and wide-brimmed hats can help protect your skin from sun exposure. Avoid fabrics that are thin or have a loose weave — UV rays can pass through them.
  • Apply sunscreen frequently. Use broad-spectrum sunscreen with a sun protection factor (SPF) of 30 or higher on exposed skin. Reapply sunscreen every two hours.