Usatine RP. Color Atlas of Family Medicine. The prevalence of back pain, hand discomfort, and dermatitis in the US working population. Am J Public Health. Department of Labor. Workplace injuries and illnesses in Accessed April 19, Contact dermatitis: a practice parameter [published correction appears in Ann Allergy Asthma Immunol.
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Halstater B, Usatine RP. Guidelines for the management of contact dermatitis: an update. Br J Dermatol. Soak and smear: a standard technique revisited. Arch Dermatol. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.
Contact afpserv aafp. Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Previous: Medical Management vs. Surgery for Gastroesophageal Reflux Disease. Aug 1, Issue. Diagnosis and Management of Contact Dermatitis. C 3 Localized acute allergic contact dermatitis lesions are successfully treated with mid- or high-potency topical steroids, such as triamcinolone 0. C 4 On areas with thinner skin e. C 4 If allergic contact dermatitis involves extensive areas of the skin greater than 20 percent , systemic steroid therapy is often required and offers relief within 12 to 24 hours.
Features to Help Distinguish Between Irritant and Allergic Contact Dermatitis Feature Irritant Allergic Location Usually the hands Usually exposed areas of skin, often the hands Symptoms Burning, pruritus, pain Pruritus is the dominant symptom Surface appearance Dry and fissured skin Vesicles and bullae Lesion borders Less distinct borders Distinct angles, lines, and borders Information from reference 1.
Table 1. A linear pattern of allergic contact dermatitis from poison ivy. Figure 1. Figure 2. Figure 3. Figure 4. Figure 5. Figure 6. Table 2. Nickel sulfate 2. Wool alcohols 3. Neomycin 4. Potassium dichromate 5.
Contact dermatitis is a red, itchy rash caused by direct contact with a substance or an allergic reaction to it. To treat contact dermatitis successfully, you need to identify and avoid the cause of your reaction. Contact dermatitis is caused by a substance you're exposed to that. Contact dermatitis is a condition that makes skin red or inflamed after contact with an allergen or an irritant. It can be caused by various different products and.
Caine mix 6. Fragrance mix 7. Colophony 8. Paraben mix 9. Negative control Balsam of Peru Ethylenediamine dihydrochloride Cobalt dichloride Panel 2.
Epoxy resin Carba mix Black rubber mix Quaternium Mercaptobenzothiazole Formaldehyde Mercapto mix Thimerosal Thiuram mix Panel 3. Diazolidinyl urea Imidazolidinyl urea Budesonide Rhinocort Tixocortolpivalate Quinoline mix note : See Figure 7B for a photo of the panels with a positive reaction for No.
Table 3. Figure 7. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value! To see the full article, log in or purchase access. Are you sure? More in Pubmed Citation Related Articles. Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Navigate this Article. Continue reading from August 1, Previous: Medical Management vs.
Usually exposed areas of skin, often the hands. Burning, pruritus, pain. Pruritus is the dominant symptom. Dry and fissured skin. Less distinct borders. Distinct angles, lines, and borders. History and clinical appearance, skin biopsy when uncertain. Topical steroids and emollients.
Well-demarcated erythema in intertriginous areas. Topical steroids and topical calcineurin inhibitors. Erythema, pruritus, and possibly a systemic reaction. History and clinical appearance, allergy testing when uncertain. Palmoplantar psoriasis. Plaques and pustules on the palms and soles. Potent topical steroids and oral retinoids. Burrows and typical distribution on hands, feet, waist, axilla, or groin.
See your GP if you have persistent, recurrent or severe symptoms of contact dermatitis. They can try to identify the cause and suggest appropriate treatments. Read about diagnosing contact dermatitis. The best way to prevent contact dermatitis is to avoid contact with the allergens or irritants that cause your symptoms. If you cannot avoid contact, you can take steps to reduce the risk of the allergens or irritants causing symptoms, including:. Page last reviewed: 10 October Next review due: 10 October Eczema is the name for a group of conditions that cause skin to become dry and irritated.
Symptoms of contact dermatitis Contact dermatitis causes the skin to become red, blistered, dry and cracked.