Summertime Actinic Lichenoid Eruption

Summertime Actinic Lichenoid Eruption (SALE) is a skin condition that typically occurs during sunny months. While it may sound complex, we will break down everything you need to know about SALE in simple language to enhance understanding and accessibility.

Summertime Actinic Lichenoid Eruption, often called SALE for short, is a skin disorder triggered by exposure to sunlight. It can lead to itchy, red rashes, and it’s more common than you might think. Let’s delve into the specifics:

  1. Types of SALE:

    • SALE doesn’t have different types; it’s a singular condition caused by sunlight.

  2. Causes of SALE:

    • SALE is primarily caused by sunlight. However, other factors can contribute, such as:
      • Medications
      • Certain fragrances or chemicals in skincare products
      • Infections
      • Genetics
      • Weakened immune system
      • Stress
      • Hormonal changes
      • Smoking
      • Alcohol consumption
      • Allergies
      • Diet
      • Personal care products
      • Skin trauma
      • Emotional factors
      • Autoimmune diseases
      • Underlying skin conditions like psoriasis or eczema
      • Pre-existing lichen planus
      • Chronic liver disease
      • Exposure to UV lamps or tanning beds
      • Occupational exposure to sunlight (e.g., outdoor workers)
      • Viral infections
      • Insect bites or stings
      • Vaccinations
      • Excessive sweating
      • Cosmetics
      • Certain foods or drinks

  3. Symptoms of SALE:

    • SALE can cause a range of symptoms, including:
      • Itchy, red or purple rash
      • Small, flat-topped bumps or papules
      • Burning sensation
      • Swelling
      • Blistering
      • Painful sores
      • Peeling or scaling skin
      • Dark patches
      • Skin discoloration
      • Scaly plaques
      • Rash resembling lichen planus
      • Sensitivity to sunlight

  4. Diagnostic Tests for SALE:

    • Diagnosing SALE typically involves a dermatologist examining your skin and discussing your medical history. In some cases, they may use:
      • Skin biopsy
      • Blood tests
      • Patch testing for allergies

  5. Treatment of SALE:

    • SALE can be managed with various treatments, including:
      • Sun Protection: The most crucial step is avoiding sunlight. Use sunscreen, wear protective clothing, and seek shade.
      • Topical Steroids: Creams or ointments can reduce inflammation and itching.
      • Oral Steroids: In severe cases, your doctor may prescribe oral steroids for a short time.
      • Antihistamines: These can help relieve itching.
      • Immune Modulators: Medications like hydroxychloroquine may be prescribed to suppress the immune response.
      • Phototherapy: Controlled UV light exposure can help desensitize your skin.
      • Moisturizers: Keeping your skin hydrated can alleviate discomfort.
      • Avoid Triggers: Identify and avoid triggers like certain medications or skincare products.
      • Cool Compresses: Applying a cool, damp cloth can soothe irritated skin.
      • Corticosteroid Injections: In severe cases, your doctor may inject corticosteroids directly into the affected area.

  6. Drugs Used in SALE Treatment:

    • Some drugs commonly used in SALE treatment include:
      • Hydrocortisone
      • Prednisone
      • Tacrolimus
      • Mycophenolate mofetil
      • Methotrexate
      • Acitretin
      • Cyclosporine
      • Topical corticosteroids
      • Antihistamines
      • Nonsteroidal anti-inflammatory drugs (NSAIDs)
      • Calcineurin inhibitors
      • Topical calcineurin inhibitors
      • Ultraviolet (UV) light therapy
      • Sunscreen
      • Moisturizers

Understanding Summertime Actinic Lichenoid Eruption:

Summertime Actinic Lichenoid Eruption (SALE) is a skin condition that tends to appear when your skin is exposed to sunlight. It’s like an allergic reaction to the sun. SALE can cause various symptoms, such as itchy and red rashes, blisters, and painful sores. Let’s break down the key aspects of SALE:

  1. Types of SALE:
    • SALE doesn’t have different types; it’s all about how your skin reacts to sunlight.
  2. Causes of SALE:
    • SALE is mainly caused by sunlight, but other factors can make it worse or trigger it. These include:
      • Medications: Some medicines can make your skin more sensitive to sunlight.
      • Skincare Products: Fragrances and chemicals in certain skincare products can be a problem.
      • Infections: If you have an infection, your skin might react to the sun differently.
      • Genetics: Sometimes, your genes can make you more prone to SALE.
      • Weakened Immune System: If your immune system isn’t working well, SALE might be more likely.
      • Stress: Stress can sometimes make skin conditions worse.
      • Hormonal Changes: Changes in your hormones can affect your skin’s reaction to sunlight.
      • Smoking: Smoking can also play a role in SALE.
      • Alcohol: Drinking alcohol might make your skin more sensitive.
      • Allergies: If you have allergies, they can impact how your skin responds to the sun.
      • Diet: What you eat can affect your skin.
      • Personal Care Products: Some shampoos, lotions, or soaps can be a problem.
      • Skin Trauma: If you injure your skin, it might react to the sun differently.
      • Emotional Factors: Your emotions can influence your skin’s behavior.
      • Autoimmune Diseases: These conditions can affect your skin’s response to sunlight.
      • Underlying Skin Conditions: If you have conditions like psoriasis or eczema, SALE might be more likely.
      • Pre-existing Lichen Planus: If you already have lichen planus, SALE can be a complication.
      • Chronic Liver Disease: Some liver diseases can affect your skin’s reaction to the sun.
      • UV Lamps and Tanning Beds: Artificial UV light can also trigger SALE.
      • Occupational Exposure: If you work outdoors, you might be at higher risk.
      • Viral Infections: Certain viruses can make SALE more likely.
      • Insect Bites or Stings: These can affect your skin’s sensitivity.
      • Vaccinations: Some vaccines can impact how your skin reacts to sunlight.
      • Excessive Sweating: Sweating a lot can make SALE worse.
      • Cosmetics: The makeup and skincare products you use can play a role.
      • Certain Foods or Drinks: Some foods and beverages might affect your skin’s response to the sun.
  3. Symptoms of SALE:
    • SALE can show up in various ways. You might experience:
      • Itchy, red or purple rashes: These can be quite uncomfortable.
      • Small, flat-topped bumps or papules: Your skin may develop raised areas.
      • Burning sensation: It might feel like your skin is burning.
      • Swelling: Your skin can become puffy.
      • Blistering: Blisters filled with fluid can form.
      • Painful Sores: Some people develop painful sores.
      • Peeling or Scaling Skin: Your skin may start to flake or peel.
      • Dark Patches: Areas of your skin might darken.
      • Skin Discoloration: Your skin can change color.
      • Scaly Plaques: These are rough, scaly patches.
      • Rash Resembling Lichen Planus: SALE can look like lichen planus.
      • Sensitivity to Sunlight: Your skin might become more sensitive to sunlight.
  4. Diagnostic Tests for SALE:
    • To diagnose SALE, a dermatologist will likely:
      • Examine Your Skin: The doctor will look at your skin and ask about your medical history.
      • Skin Biopsy: In some cases, a small sample of skin may be taken for further examination.
      • Blood Tests: These can help rule out other possible causes.
      • Patch Testing: This can identify if you’re allergic to certain substances.
  5. Treatment of SALE:
    • Managing SALE involves various approaches, including:
      • Sun Protection: The most crucial step is to protect your skin from the sun. This includes using sunscreen, wearing protective clothing like wide-brimmed hats, and seeking shade when possible.
      • Topical Steroids: Creams or ointments containing steroids can help reduce inflammation and itching.
      • Oral Steroids: In severe cases, your doctor may prescribe oral steroids for a short period to bring the condition under control.
      • Antihistamines: These medications can provide relief from itching.
      • Immune Modulators: Drugs like hydroxychloroquine may be prescribed to suppress the immune response and reduce skin reactions.
      • Phototherapy: Controlled exposure to UV light can help make your skin less sensitive over time.
      • Moisturizers: Keeping your skin well-hydrated can alleviate discomfort and reduce dryness.
      • Avoid Triggers: Identify and avoid triggers like specific medications or skincare products that worsen SALE.
      • Cool Compresses: Applying a cool, damp cloth to affected areas can help soothe irritated skin.
      • Corticosteroid Injections: In severe cases where other treatments aren’t effective, your doctor may inject corticosteroids directly into the affected areas.
  6. Drugs Used in SALE Treatment:
    • Doctors may prescribe various medications to manage SALE, including:
      • Hydrocortisone: A topical steroid to reduce inflammation.
      • Prednisone: An oral steroid used in severe cases.
      • Tacrolimus: An immune-modulating medication.
      • Mycophenolate Mofetil: Another immune-suppressing drug.
      • Methotrexate: Sometimes used in severe or resistant cases.
      • Acitretin: A medication that can help control skin symptoms.
      • Cyclosporine: An immune-suppressing drug used in severe cases.
      • Topical Corticosteroids: Creams or ointments containing steroids.
      • Antihistamines: Medications to relieve itching.
      • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): These can help reduce inflammation and pain.
      • Calcineurin Inhibitors: Drugs like tacrolimus and pimecrolimus that modify the immune response.
      • Topical Calcineurin Inhibitors: Similar to the above, but applied topically to the skin.
      • Ultraviolet (UV) Light Therapy: Controlled exposure to UV light to reduce skin sensitivity.
      • Sunscreen: An essential for protecting your skin from the sun.
      • Moisturizers: To keep your skin hydrated and minimize dryness.

Conclusion:

Summertime Actinic Lichenoid Eruption (SALE) may sound complex, but it’s a condition that can be managed with the right approach. Avoiding sunlight and using protective measures are key steps in preventing and alleviating symptoms. If you suspect you have SALE, consult a dermatologist for a proper diagnosis and tailored treatment plan. Remember, you’re not alone, and there are effective ways to deal with this condition and enjoy sunny days without discomfort.

 

Disclaimer: Each person’s journey is unique, treatment plan, life style, food habit, hormonal condition, immune system, chronic disease condition, previous medical  history is also unique. So always seek the best advice from a qualified medical professional or health care provider before trying any treatments to ensure to find out the best plan for you. This guide is for general information and educational purposes only. If you or someone are suffering from this disease condition bookmark this website or share with someone who might find it useful! Boost your knowledge and stay ahead in your health journey. Thank you for giving your valuable time to read the article.

  1. https://medlineplus.gov/skinconditions.html
  2. https://www.aad.org/about/burden-of-skin-disease
  3. https://www.usa.gov/federal-agencies/national-institute-of-arthritis-musculoskeletal-and-skin-diseases
  4. https://www.cdc.gov/niosh/topics/skin/default.html
  5. https://www.skincancer.org/
  6. https://illnesshacker.com/
  7. https://endinglines.com/
  8. https://www.jaad.org/
  9. https://www.psoriasis.org/about-psoriasis/
  10. https://books.google.com/books?
  11. https://www.niams.nih.gov/health-topics/skin-diseases
  12. https://cms.centerwatch.com/directories/1067-fda-approved-drugs/topic/292-skin-infections-disorders
  13. https://www.fda.gov/files/drugs/published/Acute-Bacterial-Skin-and-Skin-Structure-Infections—Developing-Drugs-for-Treatment.pdf
  14. https://dermnetnz.org/topics
  15. https://www.aaaai.org/conditions-treatments/allergies/skin-allergy
  16. https://www.sciencedirect.com/topics/medicine-and-dentistry/occupational-skin-disease
  17. https://aafa.org/allergies/allergy-symptoms/skin-allergies/
  18. https://www.nibib.nih.gov/
  19. https://rxharun.com/rxharun/rxharun/article-types/skin-care-beauty/skin-diseases-types-symptoms-treatment/
  20. https://www.nei.nih.gov/
  21. https://en.wikipedia.org/wiki/List_of_skin_conditions
  22. https://en.wikipedia.org/?title=List_of_skin_diseases&redirect=no
  23. https://en.wikipedia.org/wiki/Skin_condition
  24. https://oxfordtreatment.com/
  25. https://www.nidcd.nih.gov/health/
  26. https://consumer.ftc.gov/articles/w
  27. https://www.nccih.nih.gov/health
  28. https://catalog.ninds.nih.gov/
  29. https://www.aarda.org/diseaselist/
  30. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets
  31. https://www.nibib.nih.gov/
  32. https://www.nia.nih.gov/health/topics
  33. https://www.nichd.nih.gov/
  34. https://www.nimh.nih.gov/health/topics
  35. https://www.nichd.nih.gov/
  36. https://www.niehs.nih.gov
  37. https://www.nimhd.nih.gov/
  38. https://www.nhlbi.nih.gov/health-topics
  39. https://obssr.od.nih.gov/
  40. https://www.nichd.nih.gov/health/topics
  41. https://rarediseases.info.nih.gov/diseases
  42. https://beta.rarediseases.info.nih.gov/diseases
  43. https://orwh.od.nih.gov/

References