What to do for sun allergy rash
Polymorphic light eruption is more common in women than men.
It particularly affects people who are fair, although it can also affect those with dark skin.
It generally starts between the ages of 20 and 40, although it sometimes affects children.
Symptoms of polymorphic light eruption
An itchy or burning rash appears within hours, or up to 2 to 3 days after exposure to sunlight.
It lasts for up to 2 weeks, healing without scarring.
The rash generally appears on the parts of the skin exposed to sunlight, typically the head, neck, chest and arms.
The face is not always affected.
Causes of polymorphic light eruption
Polymorphic light eruption is thought to be caused by UV light altering a substance in the skin, which the immune system reacts to, resulting in the skin becoming inflamed.
It can run in families.
About a fifth of people with the condition own an affected relative.
It’s not infectious, so there’s no risk of catching polymorphic light eruption from another person.
Treatments for polymorphic light eruption
There’s no cure for polymorphic light eruption, but using sunscreens and careful avoidance of the sun will assist you manage the rash.
Avoid the sun, particularly between 11am and 3pm when the sun’s rays are at their strongest, and wear protective clothing when outdoors (unless you’re hardening your skin).
Introduce your skin to sunlight gradually in the spring.
You may be prescribed sunscreens to assist prevent the rash developing.
Use a sunscreen that is SPF 30 or above with a excellent UVA rating. Apply sunscreen thickly and evenly reapplying often.
Hardening or toughening
You may be capable to increase the resistance of your skin at home.
This is known as «hardening» and involves going exterior for short periods in the spring to build up your resistance.
You might discover the time is as short as a few minutes at first, but you may be capable to gradually build up to longer times.
You’ll own to be careful not to overdo it but, as you start to understand more about how much light triggers your rash, you’ll be capable to judge how endless to stay out.
Like desensitisation, the effects of hardening are lost in the winter, so you’ll own to build up your resistance again in the spring.
Steroid creams and ointments
Your GP can prescribe corticosteroid (steroid) cream or ointment that’s only applied when the rash appears.
You should apply it sparingly, as often as your GP advises, and never when there’s no rash.
Desensitisation or UV treatment
It’s sometimes possible to increase the resistance of your skin to the sun.
This involves visiting a hospital dermatology department 3 times a week for 4 to 6 weeks in the spring.
Your skin is gradually exposed to a little more UV light every visit to attempt to build up your skin’s resistance.
The effects of desensitisation are lost in the winter, so you’ll own to build up your resistance again in the spring.
People with polymorphic light eruption are at greater risk of vitamin D deficiency, as a certain quantity of sun exposure is needed to make your own vitamin D.
Your GP will advise whether you need treatment with vitamin D supplements.
The rash may be a rare occurrence or may happen every time the skin is exposed to sunlight.
It ranges from mild to severe.
Sometimes as little as 30 minutes of sun exposure is enough to cause the problem, and it can even develop through thin clothing or if you’re sitting near a window.
But for most people with polymorphic light eruption, the rash develops after several hours exterior on a sunny day.
If further sun is avoided, the rash may settle and vanish without a trace within a couple of weeks.
It may or may not return when skin is re-exposed to sunlight.
If the skin is exposed to more sunlight before the rash has cleared up, it’ll probably get much worse and spread.
For numerous people with polymorphic skin eruption, the rash appears every spring and remains a problem throughout summer before settling below by autumn.
The rash can take numerous diverse forms (polymorphic):
- most people get crops of 2mm to 5mm pink or red raised spots
- some people get blisters that turn into larger, dry, red patches – it looks a bit love eczema
- less commonly, the skin patches glance love targets or bull’s eyes (it looks a bit love erythema multiforme)
Polymorphic light eruption can be easily mistaken for prickly heat.
Prickly heat is caused by warm weather or overheating, rather than sunlight or UV light.
The skin in prickly heat does not «harden» or desensitise, as it can do in polymorphic light eruption.
Polymorphic light eruption is thought to affect about 10 to 15% of the UK population.