Causes & Symptoms:
Irritant Contact Dermatitis (ICD) is the
most common form of contact dermatitis with approximately 3 out
4 cases being caused by an irritant reaction to soaps, detergent,
solvents, adhesives, fiberglass, and other chemicals which come
into contact with the skin. The longer or more repeated contact
with these chemicals, the higher the chance for ICD as well as
increased severity for the condition.
The hands are the most vulnerable area for ICD as
they frequently come into contact with ICD causing chemicals.
Common symptoms of irritant contact dermatitis include:
redness, itching, crusting, swelling, blistering, oozing, dryness,
scaliness, thickening of the skin, and a feeling of warmth at
the site of contact. In extreme cases, severe blistering can occur
and open sores can form.(1)
The hands are the most vulnerable area for ICD as
they frequently come into contact with ICD causing chemicals.
Common symptoms of irritant contact dermatitis include: redness,
itching, crusting, swelling, blistering, oozing, dryness, scaliness,
thickening of the skin, and a feeling of warmth at the site of
contact. In extreme cases, severe blistering can occur and open
sores can form.(1)
Allergic Contact Dermatitis (ACD) occurs
when the skin is exposed or comes into contact with a substance
(allergen) that the individual is allergic and who's immune system
triggers a response which inflames the skin. (2) There are more
than 10,000 allergy causing substances (allergen) ranging from
poison ivy, pesticides, cosmetics, to nickel and perfume. Less
than 3 dozen different types of allergens are the main culprits
behind most cases of ACD.
Symptoms stemming from ACD are similar to ICD including:
redness, itching, inflammation, tenderness, localized swelling,
and in severe cases, a lesion or rash leading to papules, blistering,
oozing, crusting, scaling, rawness and thick.
Diagnosis: Diagnosis of contact
dermatitis involves a physical examination of the infected area
as well as well as questions by the doctor which may lead him
or her to conclude the most likely susbtance as the cause of contact
dermatitis. In cases of allergic contact dermatitis, the patch
test is nearly always used.
Allergy testing with skin patches may isolate the suspected
allergen that is causing the reaction. Patch testing usually
involves three different visits with a doctor that specializes
in allergies.
Treatment: The first line of treatment for
contact dermatitis is avoiding contact with the substance.
With ACD, this is best achieved once the doctor identifies
the allergen that causes the dermatitis.
Two types of medications are used to treat the
symptoms of contact dermatitis until the inflammation or rash
go away. These medications include:
Self-Treatment: In mild cases
of contact dermatitis, symptoms can be relieved by washing the
infected area immediately with soap and cool water. Calamine
lotion may relieve itching and further irritation of the skin.

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