Contact Dermatitis

Contact dermatitis is defined when a skin rash is developed from contact with a substance to which the patient has previously been sensitized. It is a delayed type IV hypersensitivity reaction. The agents include poison ivy, poison oak, nickel, perfumes, soaps, detergents, and cosmetics.

Signs and Symptoms:

• Pruritus and rash
• Malaise and fever
• Edema
• Lymphadenopathy
• Erythematous, weepy, and crusted patches, plaques, or papulovesicles

Treatments:

1. Cool compresses or oatmeal preparation, topical steroids for mild cases
2. Extended course of systemic corticosteroids and antihistamines for severe cases