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Contact dermatitis - Treatment

Alternative Names

Dermatitis - contact; Allergic dermatitis; Dermatitis - allergic; 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. You should avoid further exposure to known irritants or allergens.

In some cases, the best treatment is to do nothing to the area.

Corticosteroid skin creams or ointments may reduce inflammation. Carefully follow the instructions when using these creams, because overuse, even of low-strength over-the-counter products, may cause a troublesome skin condition. In severe cases, systemic corticosteroids may be needed to reduce inflammation. These are usually tapered gradually over about 12 days to prevent recurrence of the rash. In addition to or instead of corticosteroid skin treatment, your doctor may prescribe tacrolimus ointment or pimecrolimus cream.

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

Expectations (prognosis):

Contact dermatitis usually clears up without complications within 2 or 3 weeks, but may return if the substance or material that caused it cannot be identified or avoided. A change of occupation or occupational habits may be necessary if the disorder is caused by occupational exposure.

Complications:

Secondary bacterial skin infections may occur.

Calling your health care provider:

Call your health care provider if symptoms indicate contact dermatitis and it is severe or there is no improvement after treatment.

  • Reviewed last on: 2/5/2008
  • Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Noble J, Greene HL, Levinson W, et al. Textbook of Primary Care Medicine. 3rd ed. St. Louis, Mo: Mosby; 2001:766-769.

Habif TP. Clinical Dermatology. 4th ed. St. Louis, Mo: Mosby; 2004:81.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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