CONTACT DERMATITIS

WHAT IS CONTACT DERMATITIS?

Contact dermatitis is a condition where the skin becomes sore, red, itchy, or swollen after contact with an irritant or allergen. These reactions are not life-threatening or contagious, but are uncomfortable or embarrassing. Contact dermatitis is very common. However, it is also very difficult to diagnose because reactions are usually delayed, making it harder to find their cause.

SYMPTOMS OF CONTACT DERMATITIS

Symptoms of contact dermatitis will usually occur on the areas of your skin that were directly exposed to the offending substance. However, some reactions do not follow this trend. For example. you use sunscreen on your whole body, but only your face may react. Also, if the offending substance is an oral medication, food, flavoring, you can’t predict the reaction.

It is important to note that reactions can occur immediately, after several hours or days, or only after years of exposure. Also, different types of contact dermatitis and different contact allergens and irritants will cause different types of symptoms.

Some possible symptoms:

Blisters that may weep or crust over
Itching, sometimes severe
Rash that is warm, tender, oozing, crusty, scaly, raw, thickened, red, streaky, patchy, bumpy, and/or itchy
Red, dry, rough skin
Redness that resembles a burn
Skin rash on only the area exposed to the irritant or allergen
Tenderness, burning, or pain

TYPES OF CONTACT DERMATITIS

Irritant contact dermatitis is the result of damage to your epidermis (the skin’s protective outer layer) by a chemical or substance. The severity of the reaction is determined by how long the exposure and how strong or concentrated the substance is. Irritant contact dermatitis is the most common type of contact dermatitis.

Allergic contact dermatitis is when an allergen causes an immune reaction on your skin. You can be sensitized to a stronger allergen (like poison oak or poison ivy) after only one exposure. A weaker allergen may require several exposures over months or years before it will trigger an allergy. Unfortunately, once you have developed an allergy to a particular substance, you will probably be allergic to it for the rest of your life. Your allergist may perform allergy testing to identify what your allergies are. Dr. T is an expert in diagnosing what is causing your allergic reaction. Unfortunately, the only allergy cure is to avoid contact with these allergens.

Photoallergic contact dermatitis is a kind of allergic contact dermatitis where the reaction only occurs after your skin is exposed to sunlight. One example: you put on sunscreen and you are fine, but when you go out in the sun, you experience a reaction. This allergic reaction is much more difficult to diagnose.

EXAMPLES OF POSSIBLE IRRITANTS AND ALLERGENS:

Acids and bases
Household cleaning products, detergents, soaps
Medicines applied to the skin: antibiotics, anti-inflammatory drugs (NSAIDS), antiseptics, antihistamines, etc.
Metal found in jewelry, zippers, watchbands, curling irons, eyelash curlers, coins, bra hooks
Natural rubber or latex
Personal care products like soap, cosmetics, perfume, deodorant, sunscreen
Plants (poison oak or poison ivy, for example)
Substances you are exposed to at work (chemicals, dyes, fuels, oils, cleaning agents, solvents, wet cement, cement dust, paper dust, sawdust)
Poison Ivy
Weed killers or pesticides
Wet diapers (long-term exposure)

ALLERGY TESTING

Allergy patch testing is the primary type of allergy testing recommended for patients with potential allergic contact dermatitis. It is usually performed by Dr. Tamayev or by a doctor that is a skin care specialist. In this type of allergy test, small amounts of potential allergens/irritants are applied to patches that are (carefully) taped onto your skin, usually on your back. You return to Dr. Tamayev a couple of days later and the patches are removed. Dr. T will then evaluate your back to look for raised bumps, rashes, blisters, etc. that may have developed on your skin. These reactions indicate what allergies may be causing your allergic contact dermatitis.

After this second visit, Dr. T may ask you to come back the next day or a couple of days later to check for any delayed reactions. Remember that while the patches are on your back, you cannot get them wet and should minimize activities that cause you to sweat. Dr. Tamayev will delay allergy testing until cooler weather, if possible.

TREATMENT FOR CONTACT DERMATITIS

The first thing you should do if you suspect you have allergy or irritant contact dermatitis is to wash your skin with soap and water – gently but thoroughly – to remove any traces of the allergen or irritant that may still be there. You should also try and wash any surfaces (like the dog, the table, etc.) that may also be contaminated. If you know or suspect what caused your reaction and can then avoid that offending substance, symptoms usually resolve in 2-4 weeks. In the meantime, you may want to try some of these measures to soothe your skin and reduce inflammation:

Avoid scratching.
Wear smooth-textured, loose, breathable clothing.
Take a comfortably cool bath.
Use lotion or moisturizer to keep the skin moist and help it repair itself.
Use cool compresses (moist washcloths) on affected areas of your skin.
Use only mild soaps and detergents. Consider stopping the use of nonessential personal care products, at least temporarily, in case they are responsible for your reaction.
Use an over-the-counter (OTC) anti-itch cream or calamine lotion.

If the symptoms do not resolve in a reasonable amount of time, Dr. T may suggest the following:

Use of oral corticosteroids or antihistamines.
Use of corticosteroid skin creams or ointments.

These allergy medications will generally accelerate the healing process and help you feel better, faster.

SUMMARY

If you are experiencing contact dermatitis, Dr. Tamayev wants to help. Dr. T has access to the latest testing and treatments, and sees both adult and pediatric patients. Book an appointment today by using the button below!