Sunburn Differential Diagnoses
- Author: Christopher M McStay, MD; Chief Editor: Rick Kulkarni, MD more...
Kochevar IE, Taylor CR. Photophysics, photochemistry and photobiology. In: Freedberg IM, ed. Fitzpatrick's Dermatology in General Medicine. 6th ed. New York, NY: McGraw-Hill; 2003:1267-1275.
Walker SL, Hawk JL, Young AR. Acute effects of ultraviolet radiation on the skin. In: Freedberg IM, ed. Fitzpatrick's Dermatology in General Medicine. 6th ed. New York, NY: McGraw-Hill; 2003:1275-1282.
Walsh LJ. Ultraviolet B irradiation of skin induces mast cell degranulation and release of tumour necrosis factor-alpha. Immunol Cell Biol. Jun 1995;73(3):226-33. [Medline].
Terui T, Takahashi K, Funayama M, Terunuma A, Ozawa M, Sasai S, et al. Occurrence of neutrophils and activated Th1 cells in UVB-induced erythema. Acta Derm Venereol. Jan-Feb 2001;81(1):8-13. [Medline].
Clydesdale GJ, Dandie GW, Muller HK. Ultraviolet light induced injury: immunological and inflammatory effects. Immunol Cell Biol. Dec 2001;79(6):547-68. [Medline].
Van Laethem A, Claerhout S, Garmyn M, Agostinis P. The sunburn cell: regulation of death and survival of the keratinocyte. Int J Biochem Cell Biol. Aug 2005;37(8):1547-53. [Medline].
Kramer DA, Shayne P. Sun-induced disorders. In: Schwartz GR, ed. Principles and Practice of Emergency Medicine. 4th ed. Baltimore, MD: Lippincott Williams & Wilkins; 1999:1581.
Narbutt J, Lesiak A, Sysa-Jedrzejowska A, Boncela J, Wozniacka A, Norval M. Repeated exposures of humans to low doses of solar simulated radiation lead to limited photoadaptation and photoprotection against UVB-induced erythema and cytokine mRNA up-regulation. J Dermatol Sci. Mar 2007;45(3):210-2. [Medline].
Centers for Disease Control and Prevention (CDC). Sunburn prevalence among adults--United States, 1999, 2003, and 2004. MMWR Morb Mortal Wkly Rep. Jun 1 2007;56(21):524-8. [Medline]. [Full Text].
Brown TT, Quain RD, Troxel AB, Gelfand JM. The epidemiology of sunburn in the US population in 2003. J Am Acad Dermatol. Oct 2006;55(4):577-83. [Medline].
Cokkinides V, Weinstock M, Glanz K, Albano J, Ward E, Thun M. Trends in sunburns, sun protection practices, and attitudes toward sun exposure protection and tanning among US adolescents, 1998-2004. Pediatrics. Sep 2006;118(3):853-64. [Medline].
Ultraviolet radiation: global solar UV index. Fact sheet No. 271. August 2002. World Health Organization. Available at http://www.who.int/mediacentre/factsheets/fs271/en/index.html.
Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. Jun 1988;124(6):869-71. [Medline].
Lowe NJ. An overview of ultraviolet radiation, sunscreens, and photo-induced dermatoses. Dermatol Clin. Jan 2006;24(1):9-17. [Medline].
Mukamal KJ. Alcohol consumption and self-reported sunburn: a cross-sectional, population-based survey. J Am Acad Dermatol. Oct 2006;55(4):584-9. [Medline].
Edlich RF, Martin ML, Long WB. Thermal burns. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, PA: Mosby Elsevier; 2006:918-9.
Hatch KL, Osterwalder U. Garments as solar ultraviolet radiation screening materials. Dermatol Clin. Jan 2006;24(1):85-100. [Medline].
Moehrle M, Koehle W, Dietz K, Lischka G. Reduction of minimal erythema dose by sweating. Photodermatol Photoimmunol Photomed. Dec 2000;16(6):260-2. [Medline].
Bickers DR. Sun-induced disorders. Emerg Med Clin North Am. Nov 1985;3(4):659-76. [Medline].
Rapaport MJ, Rapaport V. Preventive and therapeutic approaches to short- and long-term sun damaged skin. Clin Dermatol. Jul-Aug 1998;16(4):429-39. [Medline].
Han A, Maibach HI. Management of acute sunburn. Am J Clin Dermatol. 2004;5(1):39-47. [Medline].
Faurschou A, Wulf HC. Topical corticosteroids in the treatment of acute sunburn: a randomized, double-blind clinical trial. Arch Dermatol. May 2008;144(5):620-4. [Medline].
Dietrich AJ, Olson AL, Sox CH, Stevens M, Tosteson TD, Ahles T, et al. A community-based randomized trial encouraging sun protection for children. Pediatrics. Dec 1998;102(6):E64. [Medline].
Norman GJ, Adams MA, Calfas KJ, Covin J, Sallis JF, Rossi JS, et al. A randomized trial of a multicomponent intervention for adolescent sun protection behaviors. Arch Pediatr Adolesc Med. Feb 2007;161(2):146-52. [Medline].
Gasparro FP, Brown D, Diffey BL, Knowland JS, Reeve V. Sun protective agents: formulations, effects and side effects. In: Freedberg IM, ed. Fitzpatrick's Dermatology in General Medicine. 6th ed. New York, NY: McGraw-Hill; 2003:2344-2352.
Autier P, Boniol M, Severi G, Dore JF,. Quantity of sunscreen used by European students. Br J Dermatol. Feb 2001;144(2):288-91. [Medline].
Maier T, Korting HC. Sunscreens - which and what for?. Skin Pharmacol Physiol. Nov-Dec 2005;18(6):253-62. [Medline].
Hawk JLM, Norris PG, Honigsmann H. Abnormal responses to ultraviolet radiation: idiopathic, probably immunologic, and photoexacerbated. In: Freedberg IM, ed. Fitzpatrick's Dermatology in General Medicine. 6th ed. New York, NY: McGraw-Hill; 2003:1290-1295.
Wightman JM, Hamilton GC. Red and painful eye. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, PA: Mosby Elsevier; 2006:294.
| Skin Type | Description | Skin Color | Routine SPF | SPF for Outdoor Activity |
| I | Always burns, never tans | White | 15 | 25-30 |
| II | Always burns, tans minimally | White | 12-15 | 25-30 |
| III | Burns minimally, tans slowly | White | 8-10 | 15 |
| IV | Burns minimally, tans well | Olive | 6-8 | 15 |
| V | Rarely burns, tans profusely/darkly | Brown | 6-8 | 15 |
| VI | Rarely burns, always tans | Black | 6-8 | 15 |

