How Sun Exposure May Alleviate Chronic Urticaria Symptoms - Dermatology

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Sun exposure can actually improve chronic urticaria?


Hello, doctor.
I have been suffering from urticaria for about 10 years without any significant improvement.
Recently, I discovered that sun exposure seems to help alleviate my urticaria, but I am unsure of the underlying reason.
Due to increased outdoor activities during the holidays, I spent more time in the sun and got a tan; however, I unexpectedly noticed that my urticaria, which usually flares up at night, did not occur at all.
I thought I had found the answer to my long-standing issue and mistakenly attributed it to a deficiency in vitamin D, so I started supplementing with vitamin D while reducing my sun exposure.
As a result, my urticaria has recurred recently, with itching starting at night, especially in areas where the skin is thinner.
I genuinely want to know what other factors, besides vitamin D, might contribute to the improvement of urticaria from sun exposure.
After all, I can only sunbathe on sunny weekends, and I hope that cloudy or rainy days can also help improve my skin condition.
Thank you for your clarification!

Mr. Chen, 30~39 year old female. Ask Date: 2022/09/24

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to urticaria, you can refer to the article from Med's Good Friend at https://www.medpartner.club/urticaria-treatment-prevention-introdution/.
There are many causes of urticaria, and overall, many patients have an unknown etiology.
If the skin condition does not improve or worsens, it is advisable to consult a nearby dermatologist for diagnosis and treatment at http://www.derma.org.tw/user_finddoctor.php.
Thank you!

Reply Date: 2022/09/24

More Info


Chronic urticaria, commonly known as hives, is a condition characterized by the spontaneous appearance of itchy welts on the skin. These welts can vary in size and can occur anywhere on the body. The exact cause of chronic urticaria is often difficult to determine, and it can persist for months or even years. However, many patients report that certain environmental factors, including sun exposure, can influence their symptoms.

Your observation that sun exposure seems to alleviate your chronic urticaria symptoms is not uncommon. There are several potential mechanisms through which sunlight may help improve urticaria:
1. Vitamin D Production: As you mentioned, sunlight exposure increases the production of vitamin D in the skin. Vitamin D plays a crucial role in immune function and has anti-inflammatory properties. Some studies suggest that vitamin D deficiency may be linked to various allergic conditions, including urticaria. However, while vitamin D supplementation can be beneficial, it may not be the sole factor in alleviating your symptoms.

2. Heat and Blood Flow: Exposure to sunlight increases skin temperature and blood flow. This warming effect can lead to vasodilation (widening of blood vessels), which may help reduce the release of histamines and other inflammatory mediators that contribute to urticaria. The warmth can also promote relaxation and reduce stress, which is known to exacerbate hives in some individuals.

3. Psychological Factors: Sunlight exposure is often associated with positive feelings and improved mood due to the release of endorphins and serotonin. Stress and anxiety are known triggers for chronic urticaria, so the mood-enhancing effects of sunlight may indirectly contribute to symptom relief.

4. Immune Modulation: Sunlight exposure can influence the immune system. Ultraviolet (UV) radiation has been shown to modulate immune responses, potentially reducing the overactive immune reactions that can lead to hives.

5. Skin Barrier Function: Sun exposure can also enhance the skin's barrier function, making it less susceptible to irritants and allergens that may trigger urticaria. A healthy skin barrier is essential for preventing the entry of allergens and pathogens that can provoke an immune response.

While your experience with sun exposure is promising, it is essential to approach this treatment method with caution. Excessive sun exposure can lead to skin damage and increase the risk of skin cancer. Therefore, it is advisable to balance sun exposure with protective measures, such as using sunscreen and limiting exposure during peak hours.

Regarding your concern about the recurrence of urticaria when you reduced sun exposure and focused on vitamin D supplementation, it is possible that the benefits you experienced were due to a combination of factors rather than solely vitamin D levels. It may be beneficial to continue seeking a holistic approach to managing your chronic urticaria, which could include:
- Consulting a Dermatologist or Allergist: A specialist can help identify potential triggers and recommend appropriate treatments, including antihistamines or other medications.

- Maintaining a Symptom Diary: Keeping track of your symptoms, dietary habits, and environmental exposures can help identify patterns and triggers.

- Exploring Other Treatments: In addition to vitamin D, consider discussing other supplements or treatments with your healthcare provider that may support skin health and immune function.

In conclusion, while sun exposure may provide relief from chronic urticaria symptoms through various mechanisms, it is essential to consider a comprehensive approach to treatment. Consult with healthcare professionals to develop a personalized management plan that addresses your specific needs and concerns.

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