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Ultraviolet allergy

Abnormal photoallergy
Ultraviolet allergy is an abnormal photoallergy caused by the action of sunlight on the human body sexual reaction Photo allergy is a kind of Immunity Reaction, as long as there is a small amount of photosensitive substances in the human body ultraviolet rays Irradiation will cause reaction, which is manifested by erythema papule Wheal or Blister kind rash , after being exposed to sunlight, Skin lesion Obviously aggravated, itch The feeling intensifies.
Rashes often recur, and lichen like changes and pigmentation occur over time. The symptoms are especially serious in spring, summer and autumn; Also called Solar dermatitis
Foreign name
Ultraviolet allergy
Common location
Face, arms
Common causes
Sunlight exposure
common symptom
Erythema, itching, ecdysis
infectivity
Non infectious
Western medicine name
Solar dermatitis
Scientific name of traditional Chinese medicine
Ultraviolet allergy
Department
ENT Department - Dermatology Department
Whether included in medical insurance
yes

Allergic symptoms

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The symptom of UV allergy is that the part exposed to the sun appears itch When the skin is exposed to sunlight, a rash occurs on the exposed parts such as the face, neck, back of hand, etc. skin sensibility The symptom of "1" refers to the itching of the part exposed to the sun. The longer the exposure to the sun, the more serious the allergic reaction, skin Itch It will last 24 to 48 hours or even longer. Ultraviolet rays in sunlight may cause cataract As the damage of sunlight to eyes is not easily perceived by patients in the short and medium term, it is a potential threat to it Not to be ignored

classification

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according to Skin reaction The severity is divided into primary and secondary UV allergy.
Once UV allergy: it appears after local skin is exposed to the sun Diffuse Erythema.
Second degree UV allergy: it is manifested as local skin redness and swelling, followed by blisters or even Bulla The blister wall is tense, and the blister fluid is light yellow. Consciously Burning pain Or itchy. After the blister breaks, it shows erosive surface and dries up soon scab , accompanied by pigmentation. Severe UV allergy will accompany the whole body fever headache palpitation , fatigue, nausea, vomiting and other uncomfortable symptoms.

Pathology

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Ultraviolet allergy: UVA and UVB These two Penetrability Ultraviolet rays can reach the skin directly Dermis , make Allergic constitution It is often said in medicine that people's skin in the area exposed to sunlight appears red, burning, hot, painful and other symptoms Solar dermatitis , i.e. UV allergy; At the same time, ultraviolet radiation Will also lead to“ Health Killer ”—— Free radical It increases sharply in the body, causing wrinkles, pigment deposition, cell damage, and even changes in local skin immune system , causing more serious Phototoxicity Or light Anaphylactic reaction
After being exposed to the sun in midsummer, the exposed skin of neck, face, arm, shoulder and back appeared erythema, blister, etc., which made the burning itch unbearable. After several days, the erythema or edema subsided, and the affected skin appeared Desquamation , molt, and leave temporary pigmentation. This process is an acute injury reaction of skin under strong sunlight, namely Sunburn , repeated days Sunburn The skin is also sensitive to light after being exposed to strong sunlight Photosensitivity Reaction, namely photodermatitis.
Conventional UV Protective measures include sunscreen cream And UV protection Sunshade The use of sunscreen can only block part of UVA, but it is not very effective for UVB, and the anti ultraviolet sunshade has no effect on the ultraviolet reflected from the ground and wall.
People exposed to the sun will not only cause skin allergy, but also Skin cancer The risk is also greater than that of ordinary people. Overmuch sunlight It is an indisputable fact that radiation can cause skin damage and even skin cancer. Skin cancer in Westerners cancer More than 50% of the patients are suffering from skin cancer Upward trend , try to avoid long-term exposure in daily life.

Diagnostic Checks

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diagnosis

facula The test is a method to diagnose the hypersensitivity to exogenous ultraviolet rays and check the allergens. Here we introduce the most practical S Epstein's method.
Prepare 2 parts of the suspected photosensitizer, place them on both sides of the waist without exposure to sunlight, remove one part of the test material after 48 hours, and use it as a contact reaction test without exposure to light, and then expose the other part to UVA (320nm). After another 48 hours, compare the irradiated area with the previously covered area.
If the test result shows positive reaction in both places, it is contact allergy reaction; If both sites show negative reaction, it is non-contact allergy and non light contact allergy; If only the irradiated part is positive, it is light contact allergy; If the irradiated area is more positive than the non irradiated area, it is contact and light Contact dermatitis Both.

identify

This disease should be associated with the following skin disease Phase identification:
one Sunburn : Local skin Redness and swelling and Blister , but few obvious ecchymosis , often in the sun for hours or more than ten hours after the rash.
two Nicotinic acid deficiency : Division rash There are outstanding Glossitis and diarrhea , and nervous system Symptoms such as irritability, depression, fantasy Dyskinesia And loss of orientation. Men are more common. [1]

matters needing attention

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1. Polydipsia vitamin A To maintain the normal function of the skin. For some possible inducements Seasonal dermatitis The photosensitive food should be eaten as little or as little as possible.
2. Try not to wash your face with hot water, alkaline soap or rough towels.
3. Do facial exercises every day. It lasts for 3-5 minutes to promote facial blood circulation and make facial skin shiny.
4. People with a history of seasonal dermatitis should protect their skin from ultraviolet and visible light damage
5. Avoid prolonged exposure to the sun, and use a wide edge during spring outing Protective cap or sun umbrella Occlusion.
6. Do not use cosmetics or spices containing photosensitive substances.

Maintenance measures

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Due to UV allergy Immunity Reaction, which requires long-term maintenance. Common UV allergy maintenance measures:
1. Use mild cleaning products with weak acidity to protect the skin from being damaged by alkaline detergent;
2. Use with clearing away heat and toxic material , external application of grass cream for dehumidification and itching relief;
3. Use mild and safe products together to protect and moisturize the skin;
4. Use mild sunscreen products;
5. Use sunscreen to block the sun and avoid direct exposure to the skin;
6. In case of UV allergy symptoms, seek medical treatment in time.

Causing factors

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Food factor

Foods that can cause UV allergy: celery Lettuce , rape Spinach Amaranth Cuisine a variety of Chinese cabbage , Chinese milk vetch fat hen leaf mustard Indian aster head purslane Clover Fig Root of sheep's hoof , lemon ternip coriander Leek And others contain photosensitive substances, which belong to Photosensitive plant Excessive consumption of these vegetables and exposure to the sun will easily lead to UV allergy symptoms.

External cause

1. Cosmetics: low-quality and deteriorated cosmetics, more irritating cosmetics or some Pharmaceutical cosmetics The most typical Cosmetic allergy It is the essence allergy, and Convergent water Such cosmetics containing alcohol will also stimulate the skin to a certain extent. Others such as biochemistry preservative Fruit acid And so on will cause different irritation to the skin.
2、 Chemicals : mosquito repellent incense, plastic rubber dyestuff , paint, essence, alcohol, etc chemical fiber Clothing is also allergic. Some hair dye Cold perm essence shampoo , hair care products, etc skin sensibility , even cause Corneal Inflammation.
3. Drugs: such as contraceptives, penicillin sulfa Such drugs may cause skin allergy.
4. Food: Common seafood Class, mango Nut Food like this can cause allergies. Such as fish, shrimp, milk, fruit, etc. may also cause allergies.
5、 pollen : In the season of pollen transmission, tiny Pollen grain stay Communication process China Council It spreads in the air and flies around with the flow of air, and some of it will be inhaled by the human body and absorbed by the skin.
6. Dust: Dust allergy It is a kind of microorganism living in the dust Anaphylactic reaction , is the most common allergy. Dust sensitive Allergen Including cotton fiber, fur and various fibers, animal fur, etc.
7. Age: The growth of age is an important reason for skin sensitivity. Some people's skin is not sensitive in previous years, but it has become sensitive in recent years. This is because there is a layer of weak acid on the surface of young and healthy skin Sebaceous membrane Protect the moisture to protect the skin from external damage. However, with the growth of age, this layer of sebum film is not as healthy as before, so that some sensitive substances are easy to invade the skin.
8. Pets: Sensitive skin It is easy to cause allergy due to the fur of domestic pets. This cause Pets The allergy is mainly caused by the secretion of oil glands on animals such as cats and dogs protein When pets lick their fur, these proteins will stick to the fur, and then disperse to the air, which will attach to the human skin.
9. Seasonal changes: due to various environmental factor , airborne Bacterial spore And pollen will release a large amount of compounds that can be found in almost all tissues of the human body—— Histamine , causing Facial skin allergy
10. Temperature change: the temperature is hot and cold, which makes the sensitive people's faces red and hot.
11、 ultraviolet rays Ultraviolet radiation Causes facial skin allergy.
12. Other factors: animal hair, metal and clothing are often Sensitive skin Sensitization source of. Some people are allergic to cold, hot air and ultraviolet rays.

Life attention

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Ultraviolet allergy is due to physical problems, and it is not easy to cure. In the past, many people had to let it go because of poor response to drug treatment and continuous recurrence. Therefore, it often indulges its development, causing wrinkles, pigment deposition and cell damage in local skin. People with UV allergy should learn how to coexist with it, which is the fundamental way. Of course, the first thing is to protect against sun.
1. Don't scratch the allergen
Common people have itchy skin Intuitive response They all scratch with their hands. This action can not only stop the itching, but also may make the itching more and more severe. The main reason is that when you scratch the local area, the local temperature will rise, and the blood will release more histamine (allergen), which will worsen.
2. Pay attention to skin cleaning
As it belongs to allergic skin, pay special attention when choosing skin care products. Use weak acid and mild Cleaning products To protect the skin from being damaged by alkaline detergent, use mild skin care products together to protect the skin. It should be noted that hot water, alkaline soap and rough towels should not be used when washing face.
3. Do not apply hot compress to the allergic area
Some people itch enough to want to use hot compress. Although the heat can temporarily relieve the local pain, it is actually another kind of stimulation, because the heat will tension the blood vessels and release more allergens. For example, some people may be immersed in hot springs or bathtubs in winter, or wrapped in thick cotton quilts for excessive warmth Urticaria
4、 Facial beauty exercise
Do facial exercises every day. The method is to gently massage the forehead, zygomatic skin, nose and ears for 3-5 minutes after the five fingers are together and the palms are rubbed with slight heat to promote the face blood circulation Make the face smooth and clean. [2]
5. Try to eat less photosensitive food
Overeating contain vitamin A To maintain the normal function of the skin. For some inducible springness dermatitis Photosensitive substances such as rape, spinach, lettuce, figs, lemons, white radishes, etc. belong to photosensitive plants. If you eat these plants and bask in the sun, it is easy to have UV allergy symptoms, so you should try to eat less or not.