By Patricia de Urioste, MD
As printed in Around Town Publishing, September 2007
Did you know that unprotected exposure to ultraviolet radiation
(sunlight) is a major cause of skin cancer? Studies have shown that
frequent sunburns relate directly to an increased risk of skin cancer,
especially when started early in life. Ultraviolet B (UVB) is the major
active wavelength of sunlight that produces direct photochemical damage
to DNA, causing genetic mutations to occur. Ultraviolet A (UVA) has
also been implicated in the development of cancer and is felt to have a
major role in long-term sun damage. So not only do these wavelengths
cause skin cancer, but they also cause your skin to age prematurely,
making it have a thick, wrinkled, leather-hard appearance at an early
age that is impossible to correct.
The prevention of skin damage is called photoprotection--that
is, avoiding exposure to direct sunlight, and is recommended by the
experts in dermatology. Knowing that this is not possible, the next
best thing is to limit the time you are exposed to the most intense
sunlight. Outdoor activities should be scheduled before 10am and after
4pm. If possible, lightweight clothing should be used as a barrier to
the damaging UVA and UVB light. Sunscreen should be applied about ½
hour prior to sun exposure to obtain the best protection, and using
products containing SPF 30 or greater is recommended. This can be
reapplied frequently. Using sunscreen will greatly reduce your chances
of being sunburned, but you have to remember that even with frequent
reapplication you will still get burned if you stay out too long. Some
people are sensitive to certain products and may develop a red, itchy
rash after application. If you have sensitive skin you should apply a
small amount to a limited area as a trial before you commit to total
body coverage!
Sunscreen can be applied at any age, but care should be taken
when using it on young children and babies since it is not good to eat.
A better solution in infants is to avoid direct and reflected sunlight
when possible.
A note to the wise--tanning beds are a great way to pay to
have skin cancer and premature aging, so they are obviously not
recommended at any time for any reason!!
Knowledge is power, so hopefully this information will help you enjoy
the outdoors without damaging your skin for the rest of this great
summer weather!
If you have a pediatric question of general interest, please submit it to advice@PediatricPhysiciansPC.com.
One of the board certified pediatricians from Pediatric Physicians, PC
will answer a selected question in this column each month.
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