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Everyone looks forward to summer and outdoor activities. However, you must, while enjoying the outdoors, take good care of your skin. Proper care includes avoiding excessive sun exposure, and preventing insect bites, heat rashes and poison plant rashes, such as poison ivy, oak and sumac. Let's discuss each of these subjects in further detail.

Suncare:

The sun injures your skin with ultraviolet light. These invisible wavelengths from the sun are most intense during the summer, particularly during the middle of the day. Excessive exposure to these rays causes suntans and sunburns that are evidence of injury to the skin. Repeated suntans and sunburns over a lifetime damage the skin causing premature aging (wrinkles and irregularities of pigment) as well as various
benign and cancerous growths (basal cell carcinomas, squamous cell carcinomas, and the especially dangerous melanomas).

The effects of ultraviolet injury are difficult to notice at first because they happen slowly over a long period of time. You can enjoy time in the sun without unnecessarily damaging your skin by avoiding sunburn and minimizing suntans. Remember a dark tan is never healthy.

  1. Avoid mid-day sun (from the hours of 10:30am and 2:30pm).
  2. Wear appropriate cover-up clothing, including a hat.
  3. Protect your eyes with sunglasses.
  4. Apply sunscreen liberally and frequently.

We recommend a SPF (Skin Protection Factor) of at least 15. There are waterproof sunscreens that will remain effective even after heavy sweating and swimming. However, it never hurts to re-apply.

Insect Bites:

Insect bite reactions can be painful and cause annoying itch. More importantly, however, is the fact that certain insects transmit potentially dangerous diseases to humans. Examples include Lyme Disease, Rocky Mountain Spotted Fever, and West Nile Virus.

Lyme Disease: This dangerous disease affects many internal organs as well as the skin. It is transmitted by the bite of the tiny Deer Tick. The ticks bite sick deer and transmit the infection to the humans that they bite as well. Learn more about Lyme Disease.

Rocky Mountain Spotted Fever (also called Spotted Fever): This illness is transmitted by the common dog tick. It is a serious and potentially fatal illness. In spite of its name, it is particularly common in this region. Learn more about Rocky Mountain Spotted Fever.

West Nile Virus: This serious infectious disease is transmitted by mosquitoes. It has been reported up and down the Eastern Seaboard. Learn more about West Nile Virus.

Your best protection against these unwanted insect bites, besides staying indoors, is liberal use of insect repellants containing the chemical DEET. DEET is found in many commercially available products. Studies show DEET to be safe and very effective. In addition to repellants, protective clothing will discourage insect bites, as will careful examination after outdoor activities for the presence of ticks.

Heat Rashes:

Summer time heat and sweating will, in some patients, cause intensely itchy, red bumps. Covered skin is especially likely to be affected. While not dangerous, these rashes are very uncomfortable. Heat rash can be avoided by wearing loose, light clothing and refraining from heavy exercise on very hot and humid days. The best treatment for heat rash is to remain indoors for several days in the air conditioning until the rash subsides.

Poison Plant Rashes:

Exposure to poison ivy, poison oak, and poison sumac may cause an allergic reaction that usually appears several days after contact with the plant. In the Eastern United States, the most common of the poison plants is Poison Ivy. Poison Ivy is a weed that grows in areas of partial sun and partial shade. It is not found in a well-kept lawn or bright sun. The plant itself has three leaflets per stem ("leaflets three, let them be"). Remember that the vine itself can cause the reaction too. Poison ivy loses its leaves in the fall, but contact with its vine can still cause the rash.
Learn more about Poison Ivy.

The rash from all three plants is identical. The reaction is an allergy, and is not contagious to others. The idea that the rash can be spread to others is a common misconception. As soon as the oil from the plant has been washed off skin and clothing, there is no further risk of spread to others. In fact, if you suspect that you have come in contact with poison plants, you should immediately wash the exposed skin. In doing so, you may avoid the allergic reaction entirely.

While not dangerous, these rashes are extremely uncomfortable. Once a patient has been exposed, and develops a rash, a dermatologist has several medications available for effective treatment.