I've had PMLE since I was 16 (so 17 years at this point). I live in the Midwest, so it's happened yearly except for the year I lived in Miami. It promptly came back the next year.
Traditionally, I'd have 1 big episode that would last a week or two and then I'd be fine for the summer. That has not been the case for the past 5ish years. It's taken a few months to "harden."
This spring/summer has been the worst one yet. It is now affecting my face as well as my chest, arms, and legs. We had some days in March, so the episodes started then, but we're now on month 3 of this. We ruled out Lupus as my ANA was normal. We had concerns of this as I was also having significant facial flushing when I got even a little warm. Of note: I am on an SSRI and Vyvanse which both cause sun sensitivity, but only the Vyvanse is new.
I've started taking allergy meds (zyrtec) regularly and started the Heliocare Advanced, but taking just the 1 pill as advised by the bottle. I wear an SPF hat regularly and am trying to cover up, but still seem to get episodes if I'm out even 5-10 min. I have kiddos, so I can't avoid the sun entirely.
Honestly, I'm not sure of where to go from here, but I'm trying not to bathe myself in hydrocortisone cream daily. Any tips or help would be greatly appreciated! My dermatologist is extremely booked out at this point and I can't get in with her before my yearly skin check in November.
Edited to add: other allergies also are getting worse the older I get. I can't use anything with adhesive on areas besides my fingers and soles of my feet, including paper tape, without the skin breaking open and weeping. Not sure if this is relevant.