Contact DermatitisDefinitionContact dermatitis is inflammation of the outer layers of the skin caused by contact with a particular substance. It usually presents as a rash that is typically confined to the specific area of the body where the contact occurred. Contact Dermatitis Copyright © Nucleus Medical Media, Inc. CausesContact dermatitis is usually caused by either an irritant or an allergen. An irritant is a substance that irritates the skin. An allergen is a substance that causes an allergic reaction. People may be exposed to certain substances for years and never have a problem, and then suddenly develop contact dermatitis. Some common causes of contact dermatitis include:
Risk FactorsA risk factor is something that increases your chance of getting a disease or condition. Risk factors include:
SymptomsThe symptoms of contact dermatitis may vary from person to person. Scratching and rubbing can cause or worsen some symptoms. The rash is usually confined to the area where the contact with the substance occurred, but occasionally may spread. If contact with the substance occurred all over the body, such as with a body lotion, the rash may be large. Symptoms include:
DiagnosisYour doctor will ask about your symptoms and medical history, and perform a physical exam. You may be referred to a doctor who specializes in skin disorders (dermatologist) or allergies (allergist). TreatmentThe primary goal of treatment is to identify the substance causing the reaction and remove or avoid it. This could take several days or weeks of avoiding certain substances. If you cannot identify the cause of your skin reaction, you may need to undergo a skin patch test. In a patch test, a small amount of the suspected substance is applied to the skin and covered with tape. Another patch without the substance on it is also attached to the skin. Both patches are removed after a period of time. If your skin is red and swollen under the suspect patch, and not under the other patch, you are probably allergic to that substance. Treatment also focuses on caring for skin and relieving symptoms. Methods include: Skin Care
MedicationsDo not use any of these medications until after you have discussed them with your doctor.
PreventionTo prevent contact dermatitis:
American Academy of Allergy, Asthma, and Immunology American Academy of Dermatology Canadian Dermatology Association Health Canada American Academy of Allergy, Asthma, and Immunology website. Available at: http://www.aaaai.org. Accessed on October 11, 2005. American Academy of Dermatology website. Available at: http://www.aad.org. Accessed on October 11, 2005. Bourke J, Coulson I, English J. Guidelines for care of contact dermatitis. Br J Dermatol. 2001;145:877-885. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/. Accessed on October 11, 2005. 11/6/2009 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Kütting B, Baumeister T, et al. Effectiveness of skin protection measures in prevention of occupational hand eczema: results of a prospective randomized controlled trial over a follow-up period of 1 year. Br J Dermatol. 2009 Sep 1. [Epub ahead of print] Last reviewed October 2012 by Peter Lucas, MD |
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