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Sunburn

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What is sunburn?

Sunburn is damage caused to the skin when it is exposed to an excessive amount of ultraviolet (UV) light, a form of radiation that is part of sunlight.

Causes

UV light can penetrate and affect the skin. It is commonly found in sunlight, but is also the light used in tanning beds/solariums. Unlike light in the visible spectrum (which you can see) and light in the infra-red spectrum (which you can feel as heat), it is not possible to sense UV light. For that reason, when you're out in the sun, it can be difficult to know how much exposure to UV light you've had.

There tends to be more UV during the middle of the day and during summer, but sunburn can happen in cool, cloudy conditions as well. In some conditions, sunburn can occur within 15 minutes.

Skin is made up of three layers:

The epidermis contains cells called melanocytes, which produce a pigment called melanin that helps to protect the skin from the effects of UV. When the skin is exposed to more UV than the melanin can block, damage occurs to the skin.

One of the skin's responses to UV light damage is to produce more melanin, which leads to a tan. However, a tan offers very little protection to repeated damage from UV light.

Exposure to UV light causes melanocytes in the skin to produce melanin.  

There are three kinds of UV light in sunlight: UVA, UVB and UVC. However, virtually all UVC light is absorbed in the upper atmosphere and does not reach ground level, while the effects on the skin of the other two types of ultraviolet (UVA and UVB) light are a little different.

UVB light is responsible for most of the symptoms of sunburn. It damages the epidermal layers of skin and the skin responds by releasing chemicals that open up the blood vessels, causing the redness, swelling and inflammation of the skin that we know as sunburn. Because it can change the genes in the DNA of skin cells, UVB exposure can lead to skin cancer.

UVA penetrates into the deeper layers of the skin. It creates damage at the level of the skin where new skin cells are formed. It also damages the elastin and collagen fibers in the dermis, leading to premature ageing. UVA exposure can also change the genes in the DNA of skin cells, potentially leading to skin cancer.

Risk factors

The risk of sunburn depends on how much UV light a person can be exposed to before the skin is damaged and how much UV light there is in the atmosphere.

The amount of UV light a person can be exposed to without burning varies a lot. Factors include:

  • Age - babies and children are more susceptible to sunburn;
  • Skin color - fairer skin has less melanin and so is more prone to sunburn;
  • The effect of some medications, which can make a person more sensitive to sunlight (such as the antibiotic doxycycline), and;
  • Having a health condition that makes a person more sensitive to sunlight, such as lupus.

The amount of UV light in the atmosphere also varies considerably and this affects the time you can stay out before sunburn occurs. Factors that can increase the amount of UV include:

  • The time of day - UV light levels peak during the middle of the day;
  • The time of year - UV light levels are highest during summer and lowest during winter;
  • Being at a high altitude - the thinner atmosphere absorbs less UV light;
  • Being closer to the equator - these areas have higher UV light levels, and;
  • Environments with a lot of reflective surfaces such as water, sand and snow.

Signs and symptoms

Symptoms of sunburn can take a few hours to appear and can continue to develop for about three days.

The affected area of skin may:

In a severe sunburn, symptoms may include:

A tan is a sign that your skin has been damaged by UV light.

Sunburnt skin turns a pink or red color. 

Methods for diagnosis

Sunburn can often be diagnosed by examining the skin. Your doctor may also want to know the medications you take and your medical conditions, to work out if these may affect your risk of getting sunburn. They may also ask how often you've had sunburn in the past, because multiple sunburns can increase the risk of skin cancer.

Treatment

Signs that you may require treatment include:

Treatments for sunburn cannot reverse the damage to the skin caused by UV light, but they can help you feel more comfortable while the skin heals. While most cases of sunburn can be managed at home, severe sunburn may need to be treated by a doctor. Sunburn can also be related to heat exhaustion, dehydration, shock and other serious conditions that may require treatment by a doctor.

Managing sunburn at home

Drinking plenty of water can help with any dehydration caused by sun exposure.

You can manage the discomfort of sunburn by:

It also helps to avoid things that could irritate the skin or cause infection while it is healing. Things to avoid include:

Using an antiseptic cream on new skin, once the damaged skin has peeled off, can also help to avoid infection.

Potential complications

Infection

Skin that is damaged is more susceptible to infection. Managing sunburn symptoms correctly and not picking at peeling skin can help prevent infection.

Premature ageing of the skin

While sunburn itself does not cause premature ageing of the skin, excessive exposure to UVA light is a major cause of premature skin ageing.

Skin cancer

Excessive UV light exposure can increase the risk of developing:

Skin cancer can develop many years after sunburn and the risk is increased by having multiple sunburns.

Prognosis

Sunburn symptoms often settle down within days to weeks. However, the skin damage from sunburn cannot be reversed.

Prevention

Sunburn can be prevented by limiting your exposure to the sun. You can avoid sunburn by:

Avoiding the sun when UV light levels are high

Avoiding the sun during the middle of the day, when UV light levels are at their highest, can help to reduce your risk of sunburn. However, UV light levels can be high even in cool and cloudy conditions. Every day, the Bureau of Meteorology (BOM) publishes the times in your area when sun protection is advised. [1]

Using a broad-spectrum sunscreen

A water-resistant sunscreen with a sun protection factor (SPF) of 30, or higher, can help protect the skin from sunburn. The sunscreen should also be broad spectrum to block out both the UVA and UVB light.

For sunscreen to work most effectively, it needs to be:

To provide protection for the lips, use a lip balm with a broad-spectrum sunscreen.

Wearing protective clothing

You can reduce exposure to UV light by wearing a broad-brimmed hat that covers the face, ears and neck and clothes that cover the arms and legs. Light-colored clothing is more effective at reflecting the light; some clothes even come with an SPF rating.

Wear sunglasses

Sunglasses can help protect eyes from excessive UV exposure, which has been linked to increased risk of eye conditions such as cataracts, macular degeneration, pterygium and some cancers of the eye and eyelids.

Wrap-around styles offer the most protection and it is important to know that just because the lenses of a pair of sunglasses are dark does not mean that they offer protection from UV light. Although not mandatory in the US, sunglasses that meet the USA Standard: ANSI Z80.3:2010 for non-prescription sunglasses and fashion eyewear offer effective protection from UV light.

Wearing protective clothing, a hat and regularly applying sunscreen can prevent sunburn. 

References

  1. UV and sun protection times. Bureau of Meteorology. Accessed 30 March 2015 from link here
  2. Board A. D. A. M. Editorial. Actinic Keratosis. PubMed Health November 20 2012. link here
  3. . Melanoma of the Eye. PubMed Health September 20 2013. link here
  4. . Pterygium. PubMed Health November 20 2012. link here
  5. . Sunburn. PubMed Health May 15 2013. link here
  6. Skin. Better Health Channel. Accessed July 10 2014. link here
  7. Sunburn. Better Health Channel. Accessed July 8 2014. link here
  8. UV and Sun Protection Times. Accessed July 10 2014. link here

5 Most frequently asked questions (FAQs)

What is sunburn?
Sunburn is damage caused to the skin when it is exposed to too much ultraviolet light. The skin responds to the damage by releasing chemicals that open up blood vessels, causing redness, swelling and inflammation of the skin.
What are the symptoms of sunburn?
Sunburnt skin may go pink or red, become swollen, be hot to the touch, be painful and itchy, develop fluid-filled blisters and peel several days after. Symptoms of a severe sunburn can include fever or chills, nausea, vomiting and a rash.
How is sunburn treated?
Sunburn treatments cannot undo the damage done to the skin by UV, but they can help you feel more comfortable while the skin heals. Using cool compresses and over-the-counter pain medications can help reduce discomfort. Severe sunburn may require treatment by a doctor.
Can sunburn be prevented?
Sunburn can be prevented by protecting your skin from the sun. Avoiding the sun when UV levels are high, applying a broad-spectrum sunscreen (SPF 30 or higher) and wearing protective clothing and sunglasses can all help to prevent sunburn.
Is sunburn serious?
While the symptoms of sunburn will get better in days to weeks, the damage caused by excessive UV exposure to the skin cannot be undone and can increase the risk of developing skin cancer.

Related topics

Taking care of sunburn

Sunburn is damage caused to the skin when it is overexposed to ultraviolet light, such as from the sun. Sunburned skin changes colour to pink or red, and becomes swollen and tender. It can lead to premature ageing and even skin cancer. It is advisable to take preventative measures to avoid getting sunburnt.

Cellulitis

Cellulitis is a bacterial infection of the skin, usually occurring from a break in the skin, such as a cut, sore, scratch or burn. Skin affected by cellulitis quickly becomes red, swollen, hot and tender. Antibiotics may be needed to clear up the infection.

Acne

Acne is a common skin condition that causes outbreaks of pimples and cysts, mainly on the face, back, arms and chest. It occurs when hair follicles become blocked with oil and/or debris, such as dead skin cells. Anyone can get acne, but it's more common during the teenage years. Treatment options are available to help prevent and treat acne.

Athlete's foot

Athlete's foot (Tinea) is a fungal infection that causes itchy blisters which usually occur between the toes. Treatment options, such as antifungal creams, can improve symptoms within a few weeks.

About this article

Title: Sunburn

Author: Kellie Heywood

First Published: 18 Sep 2014

Last reviewed: 17 Jan 2022

Category: Information on Sunburn

Average rating: 4.9 out of 5 (1554 votes)

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