Contact dermatitis

Alternative names:

allergic dermatitis; dermatitis - allergic; dermatitis - contact; overtreatment dermatitis; poison ivy; poison oak; poison sumac

Treatment:

Initial treatment includes thorough washing with lots of water to remove any trace of the irritant that may remain on the skin. Further exposure to known irritants or allergens should be avoided. In some cases, the best treatment is to do nothing to the area.

Topical corticosteroid medications (see corticosteroids-topical-low potency; corticosteroids--topical--medium to very high potency) may reduce inflammation. Instructions should be carefully adhered to when using topical steroids as overuse of these medications, even low strength OTC topical steroids, may cause a skin condition also. In severe cases, systemic corticosteroids may be needed to reduce inflammation.

Wet dressings and soothing, antipruritic (anti-itch), or drying lotions may be recommended to reduce other symptoms.

Expectations (prognosis):

Contact dermatitis usually resolves without complications within 2 or 3 weeks, but may recur if the antigen cannot be identified or avoided. Change of occupation or occupational habits may be necessary if the disorder is caused by occupational exposure.

Complications:

• secondary bacterial skin infections

Calling your health care provider:

Call your health care provider if symptoms indicate contact dermatitis and symptoms persist longer that 2 or 3 days.