Contact Dermatitis (cont.)
Gary W. Cole, MD, FAAD
Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Contact dermatitis facts
- What is contact dermatitis?
- What causes contact dermatitis?
- What are risk factors for contact dermatitis?
- What are contact dermatitis symptoms and signs?
- How is contact dermatitis diagnosed?
- What is the treatment for contact dermatitis?
- What is the prognosis of contact dermatitis?
- Can contact dermatitis be prevented?
- Find a local Doctor in your town
What is the treatment for contact dermatitis?
Acute contact dermatitis is treated topically with evaporative measures. These measures include the application of repeated cycles of cool water compresses followed by drying. Once the weeping and oozing have stopped, then one can apply potent topical steroids two to three times a day to the affected areas for two to three weeks. Such medications are generally prescribed by a physician. If the area of involvement is too extensive to make topical treatment practical, it may be necessary to treat with oral systemic steroids for two to three weeks. It will usually take two to three weeks for the allergen to be entirely removed from the skin so that the rash resolves entirely.
What is the prognosis of contact dermatitis?
If it is possible to avoid contact with the inciting substance, then the prognosis is extremely good. If the cause of contact dermatitis is not discovered and avoided, then it is likely that it will recur upon the next exposure. In the case of allergic contact dermatitis, there is as yet no reliable technique to "desensitize" the immune system of allergic patients, so avoidance is the only alternative.
Can contact dermatitis be prevented?
Avoidance is prevention for both allergic contact dermatitis and irritant contact dermatitis. On the other hand, there are certain precautions that can be taken to prevent exposure to either irritants or potent allergens. Protective clothing can be quite helpful. There are certain so-called "barrier creams" that may be more or less useful in limiting contact to irritants and possibly allergens. In the case of poison ivy, oak, or sumac, application of barrier creams has been shown to be of use prior to exposure (Stokogard, Hollister Moisture Barrier, and Hydropel are brand names of effective creams) when available.
Dever, Tara T., Walters, Michelle, and Jacob, Sharon. "Contact Dermatitis in Military Personnel." Dermatitis 22.6 Nov./Dec. 2011: 313-319.
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