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Other names: Claritin
ALLERGIES IN CHILDHOOD: ALLERGIC REACTIONS TO SUNLIGHT

Reactions to sunlight are particularly common in Australia because children spend much of their recreational time outdoors. Apart from the long-term risks of skin cancer and premature ageing, sunburn and allergic reactions to the sun can be major problems in childhood.
Allergic reactions to sunlight occur when the body’s immune system is suddenly flooded with intense light. Both ultraviolet A and ? light cause allergic reactions, which can occur in the absence of sunburn. Allergic reactions to sunlight often produce an itchy rash on the arms, legs, the V of the neck and sometimes on the face. The face gradually becomes tolerant to ultraviolet light through constantly being exposed to it. As children get older they are less likely to experience allergic reactions to sunlight because their skin has become more tolerant.
Allergic reactions to sunlight can be confused with allergic reactions to sunscreens. Many components of sunscreens produce allergic reactions, including PABA, cinnamate benzophenone and many other ingredients. It is generally possible to find a sunscreen which a child is not allergic to once the offending ingredient is identified. The newer titanium dioxide-containing sunscreens have a lower concentration of active sunscreens and so are less likely to produce allergic reactions. Examples include Ego SunSense Toddler Milk, Ego Sunsensitive, Clinique City Block and UV Low Allergenic Formula.

Preventing allergic reactions to sunlight
Gradual exposure to sunlight is the most effective way to prevent allergic reactions. Children should spend only a short time in the sun at first, preferably early in the day, so that tolerance can be built up. Regardless of tolerance, however, midday sun should be avoided because this is when the ultraviolet rays are strongest. Protective clothing should also be worn as much as possible, especially for the first few days of exposure. Sunscreens which block both ultraviolet A and ? light should be used. The newer broad spectrum sunscreens as mentioned above are recommended.

Treating allergic reactions to sunlight
Allergic reactions to sunlight are very itchy and usually require symptomatic treatment. Oral antihistamines and cortisone creams both help the itching. Antihistamine creams should not be used, however, as they can cause their own allergic reactions which will eventually aggravate the rash.

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