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Skin and skin types

Light dermatoses: When skin reacts

The acute reaction of the skin to an excessively high dose of UV radiation, which everyone is likely to be familiar with or has experienced, is dermatitis solaris, better known as common sunburn. However, there are also other reactions of our skin to light and to sunlight specifically, which fall under the genus of light dermatoses.

Sunburn is the most common type of light dermatosis that most people probably know. There are other forms of this dermatosis that should not be underestimated. Why? What for? What are the reasons? If you experience symptoms, it is always advisable to consult a dermatologist. The root cause should be investigated immediately and not after a few days of waiting. 

Prevention is better than cure. We've definitely used this statement on more than one occasion in our efforts to raise awareness for the topic of sun protection. And it also applies to the topic of light dermatoses. 

Especially in phases when your skin is no longer used to the sun, it can react excessively and unpleasantly to the sun’s rays. This can happen during the first long walk in the spring sun, or the first visit to the sun-flooded outdoor pool after weeks of heavy rainfall. The sun, or more precisely its UV rays, places a “new” strain on your skin after a long period without exposure. The so-called self-protection of the skin has not yet been developed and makes you even more susceptible to skin damage. 

Appropriate sunscreen should therefore be used directly in the form of UV-A and UV-B protection to avoid dermatosis, among other things, as far as possible.

But what are these reactions? 

The relationship between our bodies and the sun causes a wide variety of different reactions. When it comes to the reactions caused by UV radiation, photodermatoses, of which there are multiple variants, play a major role. Colloquially, these conditions are often grouped together and described as sun allergies.

Strictly speaking, however, they are not allergies. The term is more like an umbrella term for very different skin diseases, which are more or less all caused by the direct influence of light and UV radiation on the body. However, light dermatoses can also occur in combination with toxic substances (phototoxic dermatoses), metabolic disorders or genetic factors. A dermatological examination is definitely advisable for all of the above forms. 

You can neither see nor feel the sun’s UV rays. That's what makes them so dangerous. Our skin and eyes are particularly at risk.

Visible signs of excessive exposure to the sun

  • Sunburn / erythema (mainly UVB, partly UVA)
  • Light dermatoses / sun allergy (mainly UVA)
  • Premature skin aging / wrinkles / leathery skin / moles or liver spots
  • Skin cancers (basal and squamous cell carcinoma, melanoma)
  • Cataracts

    When considering the visible signs of excessive and harmful exposure to the sun, a distinction should be made between: 1.) Damage that occurs straight away or very quickly. Skin redness, acne mallorca and sunburn belong in this category, and 2.) Damage that occurs after months or years, such as skin cancer and wrinkles. 

What happens when we encounter UV rays without protection, or better formulated, when UV rays hit our unprotected skin? A small portion of the radiation is reflected directly on the skin surface. The larger portion, on the other hand, makes its way into and under the skin. The relevant wavelength makes the difference in the penetration depth. UVB radiation is mainly found in the epidermis, while UVA rays can penetrate deeper into the skin and tissue. This is associated with chemical reactions and biological processes that are fundamental to our lives, but also involve dangers. 

What types of light dermatoses are there? 

If your skin starts to itch an abnormal amount, become red, or if small blisters or pustules form after the first long-term exposure to the sun, it is likely that the skin has suffered from light dermatosis. Scientists speak of a qualitatively abnormal reaction to sunlight or UV radiation. Symptoms are more severe and intense than sunburn.

Dermatitis solaris, better known as common sunburn
Dermatitis solaris, better known as common sunburn

In most cases, the symptoms only develop and become visible after a few hours or even a few days after “sunbathing”. In the case of polymorphic light dermatosis (PLD), the areas of skin that have been exposed to the sun directly, such as the face, neck, arms and legs, are particularly affected. The symptoms are not always the same and can also occur in isolated areas. Although this form can be unpleasant and sometimes painful, there is also a positive news: The symptoms usually disappear on their own and do not leave any scars or similar. The key is to avoid UV rays for the following days.

If this cannot be completely prevented, use sunscreen with a high SPF. The sun protection factor is closely linked to UV-B protection. But be sure to also pay attention to the UV-A protection in the product of your choice. However, the SPF can only be seen as an indicator of the level of protection. The degree of UVA protection, on the other hand, indicates the quality of the overall UV protection. To understand what makes a good sunscreen, never forget this simple fact. 

Another aspect of PLD: With further exposure to the sun or light (even with sunscreen), the skin begins to get used to the sun, as the skin becomes thicker and forms melanin. This reduces the symptoms. However, it is possible that the complaints will occur again next spring and the process of getting used to the sun gradually will have to be started from scratch.

There are different types of light dermatoses, which differ in cause and frequency of occurrence. Although there are still a number of questions to be answered by research on the causes and triggers of light dermatosis, it appears that UV-A rays are the main cause of this type of skin problem. 

Most well-known types of light dermatosis 

  • Polymorphic Light Dermatosis (PLD) 
    In addition to the symptoms described in the article, Mallorca acne (Acne aestivalis) is a subtype of PLD. However, it is not to be confused with ordinary acne. Here too, the term is used in a more colloquial sense. Small itchy pustules are typical. It is caused by a fault with the sebaceous follicles. 
  • Phototoxic dermatitis 
  • Photoallergic dermatitis 
  • Urticaria solaris – Light urticaria 
  • Chronic Actinic Dermatitis (CAD) 

Prevention is better than cure. Get used to the sun slowly and use the right sunscreen. Then nothing will stand in the way of enjoying the summer.

Even if an PLD disappears on its own, symptoms may be more severe in some cases. In such cases, please contact a doctor directly and have the symptoms diagnosed and treated by an expert.