Sunburn

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What is...

In general

Children have thin skin with poorly developed pigment (melanin), the coloring in skin, which helps to protect it from the sun. Because of this, they are more susceptible to sunburns than adults are.

Children with fair or red hair burn more easily than children with dark hair.

The ultraviolet rays of the sun are particularly dangerous.

Research has shown that children who are sunburned have an increased risk of developing skin cancer later in life.

Thus, it is very important to prevent your child from sunburn damage.

Complications

Too much time in the sun can cause other problems besides sunburn.

If the child becomes very hot in the sun, the child may develop heat exhaustion. The child will initially be very thirsty; he/she will perspire a lot, complain of a headache or dizziness, and appear very hot and uncomfortable.

The child's body temperature is increased and he/she may vomit.

Such a condition requires rapid cooling of the child, and lots of oral fluid intake.

If not treated properly, heat exhaustion can develop into heat stroke, which is a very dangerous condition that requires prompt medical attention.

The symptoms of heat stroke are a severe headache, dizziness, confusion, breathing difficulties, lethargy, and eventually, loss of consciousness (fainting).

The child with heat stroke will perspire very little despite a high body temperature (usually between 102 and 105 degrees Fahrenheit / 38.9 to 40.6 degrees Celsius).

Home treatment

Home treatment

  • If the child is lightly burned he/she does not need special treatment, but it would be wise to keep the child out of the sun for a few days until the burn has faded. 
  • You can cool the sunburned skin with a rung-out, wet towel, or a cool bath or shower.
  •  Ensure that the child drinks plenty of liquids for the next 2-3 days.

When contact doctor

When to seek medical advice

With mild sunburn, there is no need to call the doctor. The doctor should be called if the sunburn is more serious.

See the doctor immediately or call 911 if:

  • Blisters form on the burned skin. 
  • There is a sunburn with swelling on the child's face. 
  • Large areas of the body are burned. 
  • You have a suspicion of heat exhaustion or heat stroke in the child. 
  • The child appears to be ill, with fever, shivering or nausea. You think that the child is dehydrated. 

Make an appointment with your doctor if:

  • Your child has a sunburn that seems unusually painful or does not respond to the measures below. 
  • You have a suspicion of infection in the area of skin that is burned.

Prevention

Prevention

The sun is strongest in the middle of the day, between 11 am and 3 pm. Avoid letting children remain in direct sunlight during this period.

  • Encourage young children to play in the shade. You can create shade with an umbrella. This is especially important in southern, hot and sunny climates. Babies especially should be kept out of strong sunshine as much as possible. 
  • Children should always have sunscreen applied when they will be out in the sun. The sunscreen should be at least SPF (sun protection factor) 15 and must protect against both UVB and UVA radiation. The lotion should be water-resistant if the child will be swimming or sweating. You should reapply the lotion every two hours. There is little evidence that sunscreens with SPF higher than 15 offer significantly greater protection, however, they cost more. 
  • Children should wear hats with a brim and light-weight clothing while playing in the sun. Most clothing effectively blocks the harmful rays of the sun. Children should also cover up while swimming, such as wearing a T-shirt over swimming trunks. Children playing on the beach or by the water's edge are particularly vulnerable to sunburn from sunlight reflected off the water.

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