sunbathing

when i expose my skin to the sun i come up in a itchy red lumpy red rash blister like some single ones some in clusters anti histomin dont have any effect

[Bhupinder Kaur, MD]

Hello,
From your symptoms the possibility of solar urticaria is high. Apply a good sunscreen with minimum spf 30 atleast half an hour before going out in the sun. You can take non-sedating antihistamines such as Cetirizine or Loratadine (Claritin) when the rash appears. Short courses of oral cortisone or steroids are taken for short periods (one to three days) to settle more severe symptoms. You may take Vitamin C along with the prescribed treatment. Vitamin C is a general anti-allergy supplement. Also apply calamine lotion and a mild steroid cream like dermacort on the rash.

To prevent solar urticaria in future, desensitization using phototherapy and photochemotherapy are often advised. In this we try to decrease the amount of exposure by gradually increasing exposure to the form of radiation that brings about the reaction.

Please discuss this treatment option with your dermatologist. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.