Sunburn results from excess exposure to ultraviolet rays from the sun. Symptoms include reddening of the skin (erythema), fluid-filled bumps on the skin or blisters, and possibly nausea, fever, vomiting, and headache.
What Is a Sunburn?
Sunburn is an acute condition related to excess exposure to ultraviolet rays. It usually resolves over the course of a few days and acute symptoms can be managed; however, it can have morbid long-term effects if the sunburn is particularly severe. Symptoms include reddening of the skin (erythema), fluid-filled bumps on the skin or blisters, and possibly nausea, fever, vomiting, and headache. Treatment options include taking NSAIDs for pain, treating burns in a professional setting (if necessary) as well as measures to protect the skin from further sun exposure. The application of sunscreen, as well as wearing protective clothing, are important steps to avoid sunburn.
Although there is not much clinical evidence to support its effectiveness, moisturizers like aloe vera and oil-based lotions, creams, and ointments provide a protective layer on the damaged skin, speeding up healing. Cool compresses are also useful. Ibuprofen or other similar NSAIDs are effective in reducing inflammation and pain. Wearing sunscreen when going back out in the sun is also key to reducing further damage.
The main symptoms of a sunburn include the following.
- Erythema: This term is used to describe reddening of the skin. As a sunburn is a condition that causes inflammation, the inflammatory reaction and increased blood flow to the affected skin can make it appear red. The redness is usually noticeable within three to five hours and resolves within 72 hours.
- Vesiculation: Moderate to severe sunburns may be accompanied by the formation of fluid-filled vesicles apparent on the skin.
- Blisters: Similar in presentation to vesicles, the appearance of blisters indicates a .
Ultraviolet rays from the sun, especially UVB rays, have sufficient energy to damage the DNA in our bodies. This damage to cells leads to a process called apoptosis, whereby the dead cells are being cleared from the body. During the apoptosis process, there is increased swelling and redness due to dilation of the blood vessels. Blood vessels dilate so that the body’s reactive inflammatory cells can reach the damaged skin.
Treatment Options and Prevention for Sunburn
Once an individual has been sunburned, treatment is aimed at management of symptoms as the reversal of skin damage is not possible.
- Pain: The pain associated with burned skin is best managed with non-steroidal anti-inflammatory drugs (NSAIDs).
- Blistering burn: People with severe sunburns (blisters, vesicles) and severe pain may require hospitalization for fluid replacement and intravenous pain medication. If you have open blisters, topical antibiotics may be applied to prevent super-infection.
Sunburns can be very painful in the short term and can have severe health consequences in the long term including an increased risk of skin cancer. Fortunately, this condition is very preventable with the following measures:
- Skin coverage: You can avoid getting burned by covering your skin while spending time outdoors. Dark fabrics provide greater sun protection than lighter fabrics.
- Sun avoidance: Avoidance of sun exposure during the summer months when the sun is closer to the earth and between the hours of 10 a.m. to 4 p.m.
- Sunscreen: Topical sun protection should be used year-round but especially during the summer months. Sunscreen should be applied 15 to 30 minutes prior to sun exposure and should be reapplied after swimming. Sunscreens with a sun protection factor (SPF) greater than 30 should be used.
- Avoidance of tanning beds
When to Seek Further Consultation for Sunburn
If you have experienced a sunburn, it will likely self-resolve, and a visit to the doctor will probably not be necessary. If you develop extreme pain or extensive blistering as a result of sunburn, you should quickly seek consult from your physician.
Questions Your Doctor May Ask to Determine Sunburn
- Is your skin change constant or come-and-go?
- Does the rash have a clearly defined border?
- Is your rash raised or rough when touching it?
- How long have your skin changes been going on?
- Press on the red rash, then quickly release it to see if it changed colors. Does the rash turn white when it is pressed?
Self-diagnose with our free if you answer yes on any of these questions.
- Wiktor A, Richards D. Patient education: Skin burns (Beyond the Basics). UpToDate. Updated June 15, 2017.
- Sunburn: Treatment and prevention. HealthyChildren.org. Updated November 21, 2015.
- Sunburn and sun protective behaviors among adults aged 18-29 years - United States, 2000-2010. Centers for Disease Control and Prevention. Weekly. 2012;61(18):317-322.
- Risk factors for skin cancer. Cancer Treatment Centers of America.