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windburn

What is wind burn

Wind burn is actually sunburn, which is red, hot and sore skin caused by too much exposure to the sun’s rays, more specifically the ultraviolet (UV) radiation emitted from the sun. Sunburn may also occur from exposure to other UV light sources such as solaria or tanning salons.

Sunburn may flake and peel after a few days. You can treat it yourself. It usually gets better within 7 days.

At a cellular level, sunburn is associated with microscopic changes in the skin. There is the formation of UV induced sunburn cells and a reduction in Langerhans cells and mast cells, which play an essential part of the body’s immune defence system.

Intense, repeated sun exposure that results in sunburn increases your risk of other skin damage and certain diseases. These include dry or wrinkled skin, dark spots, rough spots, and skin cancers, such as melanoma. You can usually find sunburn relief with simply home remedies. Sunburn may take several days or longer to fade.

How to treat windburn?

DO

  • get out of the sun as soon as possible
  • cool your skin with a cool shower, bath or damp towel (take care not to let a baby or young child get too cold)
  • apply aftersun cream or spray, like aloe vera
  • drink plenty of water to cool down and prevent dehydration
  • take painkillers, such as paracetamol or ibuprofen for any pain
  • cover sunburnt skin from direct sunlight until skin has fully healed

DO NOT

  • do not use petroleum jelly on sunburnt skin
  • do not put ice or ice packs on sunburnt skin
  • do not pop any blisters
  • do not scratch or try to remove peeling skin
  • do not wear tight-fitting clothes over sunburnt skin
When to see a doctor

See a doctor urgently if:

  • your skin is blistered or swollen
  • your temperature is very high, or you feel hot and shivery
  • you feel very tired, dizzy and sick
  • you have a headache and muscle cramps
  • your baby or young child has sunburn

Severe sunburn can lead to heat exhaustion and heat stroke, which can be very serious.

Also seek medical care if you notice signs or symptoms of an infection. These include:

  • Increasing pain and tenderness
  • Increasing swelling
  • Yellow drainage (pus) from an open blister
  • Red streaks leading away from the open blister

How long does windburn last?

If you’ve been sunburned, it may take two days for the severity of your burn to become evident, and several more days for your skin to begin to heal. Around 4-7 days after exposure skin may start to peel and flake off. Wind burn usually gets better within 7 days.

What causes wind burn?

Sunburns are caused by exposure to too much ultraviolet (UV) light. UV radiation is a wavelength of sunlight in a range too short for the human eye to see. Ultraviolet A (UVA) is the type of solar radiation most associated with skin aging (photoaging). Ultraviolet B (UVB) is associated with sunburn. Exposure to both types of radiation is associated with developing skin cancer. Sunlamps and tanning beds also produce UV light and can cause sunburn.

To better understand the causes of sunburn you need to take a look at some basic principles of the electromagnetic (light) spectrum. This spectrum is divided according to wavelength into the ultraviolet (< 400 nm), visible (400–760 nm), and infrared (> 760 nm). The ultraviolet (UV) spectrum is divided into three broad areas:

  • Ultraviolet A (UV-A) = 320–400 nm
  • Ultraviolet B (UV-B) = 290–320 nm
  • Ultraviolet C (UV-C) = < 290 nm.

UV-C radiation is filtered out or absorbed in the outer atmosphere so does not pose a problem to humans. UV-A and UV-B radiation are the primary causes of sunburn. The skin reacts differently to each waveband.

Table 1. Reactions to UV-A and UV-B radiation

UV-AUV-B
Less potent than UV-B but is the wavelength that reaches the surface of the earth most (about 90% at midday)
Penetrates the middle skin layer (dermis) and subcutaneous fat causing damage to the site where new skin cells are created
Long-term exposure causes injury to the dermis resulting in ageing skin
Much more potent at causing erythema
About 90% is absorbed by the surface skin layer (epidermis)
Epidermis responds by releasing chemicals that cause the reddening and swelling characteristic of the early signs of sunburn
Repeated exposure causes injury to the epidermis resulting in ageing skin

Melanin is the dark pigment in the outer layer of skin (epidermis) that gives your skin its normal color. When you’re exposed to UV light, your body protects itself by accelerating the production of melanin. The extra melanin creates the darker color of a tan.

A suntan is your body’s way of blocking the UV rays to prevent sunburn and other skin damage. But the protection only goes so far. The amount of melanin you produce is determined genetically. Many people simply don’t produce enough melanin to protect the skin well. Eventually, UV light causes the skin to burn, bringing pain, redness and swelling.

You can get sunburn on cool, hazy or cloudy days. As much as 80 percent of UV rays pass through clouds. Snow, sand, water and other surfaces can reflect UV rays, burning your skin as severely as direct sunlight.

Risk factors for wind burn

Risk factors for sunburn include:

  • Having light skin, blue eyes, and red or blond hair
  • Living or vacationing somewhere sunny, warm or at high altitude
  • Working outdoors
  • Mixing outdoor recreation and drinking alcohol
  • Having a history of sunburn
  • Regularly exposing unprotected skin to UV light from sunlight or artificial sources, such as tanning beds
  • Taking a drug that makes you more likely to burn (photosensitizing medications)

Other factors that increase the incidence of sunburn include:

  • Regions situated closer to the equator
  • Areas at high altitude – UV radiation increases 4% for every 300m increase in elevation
  • Skin exposure between 10 am, and 2 pm – 65% of UV radiation reaches the earth between these times
  • Clear skies: clouds and environmental pollution reduce UV radiation
  • Environmental reflection – UV radiation is 80% reflected by snow and ice

Skin phototyping categorizes people into one of six groups based on baseline skin color and the tendency to tan and burn when exposed to UV radiation.

Table 2. Skin phototyping categories

Skin PhototypeTypical FeaturesTanning abilityMED (mJ/cm2)
1Pale white skin, blue/hazel eyes, blond/red hairAlways burn do not tan15-30
2Fair skin, blue eyesBurn easily, tan poorly25-40
3Darker white skinTan after the initial burn30-50
4Light brown skinBurn minimally, tan easily40-60
5Brown skinRarely burn, tan darkly easily60-90
6Dark brown or black skinNever burn always tan darkly90-150

People with type 1 skin phototyping are at much greater risk of sunburn than their type 6 counterparts. The amount of UV radiation, measured in energy per unit area, to produce erythema at an exposed site is called the minimal erythema dose (MED), and this is significantly lower in people with a low skin phototype grading.

How to prevent wind burn?

You can prevent sunburn and related conditions by protecting your skin. This is especially important when you’re outdoors, even on cool or cloudy days.

Use these methods to prevent sunburn, even on cool, cloudy or hazy days. And be extra careful around water, snow and sand because they reflect the sun’s rays. In addition, UV light is more intense at high altitudes.

  • Avoid sun exposure between 10 a.m. and 4 p.m. The sun’s rays are strongest during these hours, so try to schedule outdoor activities for other times. If you can’t do that, limit the length of time you’re in the sun. Seek shade when possible.
  • Avoid sun tanning and tanning beds. Using tanning beds to obtain a base tan doesn’t decrease your risk of sunburn.
  • Cover up. When outside, wear a wide-brimmed hat and clothing that covers you, including your arms and legs. Dark colors offer more protection, as do tightly woven fabrics. Consider using outdoor gear specially designed to provide sun protection. Check the label for its ultraviolet protection factor (UPF), which indicates how effectively a fabric blocks damaging sunlight. The higher the number, the better.
  • Use broad-spectrum SPF 50+ sunscreen frequently and generously. Apply water-resistant broad-spectrum sunscreen and lip balm with an SPF of 30 or greater and broad-spectrum protection against UVA and UVB rays. About 15 to 30 minutes before going outdoors, apply sunscreen generously on skin that won’t be protected by clothing. Put on more sunscreen every 40 to 80 minutes, or sooner if it has washed off from swimming or sweating. If you’re also using insect repellent, apply the sunscreen first. The Centers for Disease Control and Prevention does not recommend products that combine an insect repellent with a sunscreen. The Food and Drug Administration requires all sunscreen to retain its original strength for at least three years. Check the sunscreen labels for directions on storing and expiration dates. Throw sunscreen away if it’s expired or more than three years old. The American Academy of Pediatrics recommends using other forms of sun protection, such as shade or clothing, for babies and toddlers. Keep them cool and hydrated. You may use sunscreen on babies and toddlers when sun protective clothing and shade aren’t available. The best products for them are those that contain physical blockers (titanium oxide, zinc oxide), as they may cause less skin irritation.
  • Wear sunglasses when outdoors. Choose sunglasses with UVA and UVB protection (UV 400). Check the UV rating on the label when buying new glasses. Darker lenses are not necessarily better at blocking UV rays. It also helps to wear sunglasses that fit close to your face and have wraparound frames that block sunlight from all angles.
  • Be aware of medications that increase your sensitivity to the sun. Common drugs that make you more sensitive to sunlight include antihistamines, ibuprofen, certain antibiotics, antidepressants, antipsychotics and some cholesterol-lowering drugs. Talk with your pharmacist about your medication side effects.

Wind burn symptoms

The signs and symptoms of sunburn differ according to the skin phototype and length of exposure to UV radiation. Fifteen minutes of midday sun exposure may cause sunburn in a white skin person, while a darker skinned person may tolerate the exposure for hours.

Signs and symptoms usually occur after 2-6 hours of exposure and peak at 12-24 hours; they may include:

  • Pinkness or redness (erythema)
  • Skin that feels warm or hot to the touch
  • Pain, tenderness and itching
  • Swelling (edema)
  • Small fluid-filled blisters (severe cases), which may break
  • Headache, fever, nausea and fatigue if the sunburn is severe
  • Tenderness and irritation
  • Chills and fever (severe cases)

In severe cases of sunburn, severe skin burning may result in second-degree burns, dehydration, electrolyte imbalances, secondary infection, shock or even death.

Any exposed part of your body — including your face, earlobes, scalp, hands and lips — can burn. Even covered areas can burn if, for example, your clothing has a loose weave that allows ultraviolet (UV) light through. Your eyes, which are extremely sensitive to the sun’s UV light, also can burn. Sunburned eyes may feel painful or gritty.

Signs and symptoms of sunburn usually appear within a few hours after sun exposure. But it may take a day or longer to know the full extent of your sunburn.

Within a few days, your body may start to heal itself by “peeling” the top layer of damaged skin. After peeling, your skin may temporarily have an irregular color and pattern. A bad sunburn may take several days or longer to heal.

Wind burn complications

Intense, repeated sun exposure that results in sunburn increases your risk of other skin damage and certain diseases. These include premature aging of your skin (photoaging) and skin cancer.

Premature aging of your skin

Sun exposure and repeated sunburns accelerate the skin’s aging process, making you look older than you are. Skin changes caused by UV light are called photoaging. The results of photoaging include:

  • Weakening of connective tissues, which reduces the skin’s strength and elasticity
  • Deep wrinkles
  • Dry, rough skin
  • Fine red veins on your cheeks, nose and ears
  • Freckles, mostly on your face and shoulders
  • Dark or discolored spots (macules) on your face, back of hands, arms, chest and upper back — also called solar lentigines (len-TIJ-ih-neze)

Precancerous skin lesions

Precancerous skin lesions appear as rough, scaly patches in areas that have been damaged by the sun. They may be whitish, pink, tan or brown. They’re usually found on the sun-exposed areas of the head, face, neck and hands of light-skinned people. These patches can evolve into skin cancer. They’re also called actinic keratoses and solar keratoses.

Skin cancer

Excessive sun exposure, even without sunburn, increases your risk of skin cancer, such as melanoma. It can damage the DNA of skin cells. Sunburns in childhood and adolescence may increase your risk of developing melanoma later in life.

Skin cancer develops mainly on areas of the body most exposed to sunlight, including the scalp, face, lips, ears, neck, chest, arms, hands and legs. Skin cancer on the leg is more common in women than in men.

Some types of skin cancer appear as a small growth or a sore that bleeds easily, crusts over, heals and then reopens. With melanoma, an existing mole may change or a new, suspicious-looking mole may develop. A type of melanoma called lentigo maligna develops in areas of long-term sun exposure. It starts as a tan flat spot that slowly darkens and enlarges.

See your doctor if you notice a new skin growth, a bothersome change in your skin, a change in the appearance or texture of a mole, or a sore that doesn’t heal.

Eye damage

The sun can also burn your eyes. Too much UV light damages the retina, lens or cornea. Sun damage to the lens can lead to clouding of the lens (cataracts). Sunburned eyes may feel painful or gritty. Sunburn of the cornea is also called snow blindness.

Wind burn treatment

Sunburn treatment doesn’t heal your skin, but it can offer relief by reducing pain, swelling and discomfort. If at-home care doesn’t help or your sunburn is very severe, your doctor may offer additional treatments for sunburn relief.

The treatment of sunburn is to provide relief of the discomfort it can cause with the use of analgesics (pain-killers), cool baths, aloe vera lotions and moisturisers.

However, sunburn is better prevented than treated. Sun protection is your best defence against sunburn and other damaging effects of UV radiation.

  • Avoid sun exposure, especially between 10 am to 2 pm
  • Wear protective clothing, including wide-brimmed hats
  • Regularly apply sunscreen with a Sun Protection Factor (SPF) of 50+

Once sunburn occurs, you can’t do much to limit damage to your skin. But the following tips may reduce your pain and discomfort:

  • Take a pain reliever. If needed, an over-the-counter pain reliever such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve) may help control the pain and swelling of sunburn, especially if you take it soon after sun exposure. Some types of pain relievers may be applied to your skin as gels.
  • Cool the skin. Apply to the affected skin a clean towel dampened with cool tap water. Or take a cool bath.
  • Apply a moisturizer, lotion or gel. An aloe vera lotion or gel or calamine lotion may be soothing.
  • Drink water to prevent dehydration.
  • Leave small blisters alone. Don’t break them if they are smaller than your little fingernail. If a blister does break, clean it with mild soap and water. Then use an antibiotic ointment on the wound and cover it with a nonstick bandage. If you develop a rash at the site, stop using the ointment and see a doctor.
  • Treat peeling skin gently. Within a few days, the affected area may begin to peel. This is your body’s way of getting rid of the top layer of damaged skin. While your skin is peeling, continue to moisturize.
  • For severe sunburn, try an over-the-counter hydrocortisone cream, which may ease the discomfort. Apply a topical steroid to exposed areas twice daily for two or three days.
  • Protect your sunburn from further sun exposure. Stay out of the sun, or protect yourself from sunlight when you go outside.
  • Avoid applying ‘-caine’ products, such as benzocaine. Such creams may irritate the skin or cause an allergic reaction. Benzocaine has been linked to a rare but potentially deadly condition that decreases the amount of oxygen that the blood can carry (methemoglobinemia).

Don’t use benzocaine in children younger than age 2 without supervision from a health care professional. If you’re an adult, never use more than the recommended dose and consider talking with your doctor before using it.

An oral food supplement containing Polypodium leucotomas may provide additional oral photoprotection and reduce sunburn.

Health Jade Team

The author Health Jade Team

Health Jade