What are the main types of contact dermatitis. How long does contact dermatitis typically last. What are the most common treatments for contact dermatitis. When should you see a doctor about contact dermatitis.

Understanding Contact Dermatitis: Types and Triggers

Contact dermatitis is a skin condition that occurs when the skin comes into contact with certain substances, resulting in inflammation or a rash. There are two primary types of contact dermatitis: irritant contact dermatitis and allergic contact dermatitis.

Irritant Contact Dermatitis

Irritant contact dermatitis accounts for approximately 80% of all cases. It develops when the skin is exposed to irritating substances without involving an immune response. Common triggers include:

• Solvents and detergents
• Soaps and bleach
• Nickel-containing objects (jewelry, scissors, belt buckles)
• Makeup and hair dyes
• Scratchy wool

Excessive hand washing with hot water and soap can also trigger irritant contact dermatitis.

Allergic Contact Dermatitis

Allergic contact dermatitis involves a delayed allergic reaction, typically occurring 1-2 days after exposure to an allergen. Common allergens include:

• Poison ivy and poison oak
• Nickel
• Nail polish
• Latex or rubber
• Preservatives and fragrances

Photocontact Dermatitis

Photocontact dermatitis is a subtype of allergic contact dermatitis that occurs when allergens on the skin are exposed to UV radiation or sunlight. Triggers may include sunscreens, shaving lotions, and certain perfumes.

Recognizing the Symptoms of Contact Dermatitis

Contact dermatitis can affect any area of the body, but it commonly appears on the hands. Symptoms typically manifest in the area that came into contact with the triggering substance, although they may spread to other areas. When diagnosing contact dermatitis, healthcare professionals look for the following signs:

• Discolored and irritated skin
• Fluid-filled blisters or oozing blisters
• Skin that feels hot or tender
• Itchy skin
• Swelling
• Scaling or crusting skin
• Skin lesions

In severe cases, individuals may experience additional symptoms such as sun sensitivity, hives, and skin patches that change in texture and appear darker than the surrounding skin.

The Timeline of Contact Dermatitis: Onset and Duration

How quickly do contact dermatitis symptoms appear? The onset of symptoms can vary depending on the type of contact dermatitis:

• Irritant contact dermatitis: Symptoms typically develop within minutes of exposure to an irritant.
• Allergic contact dermatitis: Symptoms may take up to 1-2 days to appear after exposure to an allergen.

How long does contact dermatitis last? The duration of contact dermatitis can vary:

• Allergic contact dermatitis may take 2-4 weeks to resolve, even with treatment.
• The duration can be shorter if the trigger is identified and avoided, and appropriate treatment is administered.

Effective Treatments for Contact Dermatitis

While contact dermatitis may clear up on its own in some cases, various treatments can help manage symptoms and promote faster healing. Dermatologists commonly prescribe the following treatments:

1. Topical, oral, or injectable corticosteroids (e.g., hydrocortisone, prednisone)
2. Antihistamines or other allergy treatments
3. Emollients to moisturize and protect the skin
4. Cool compresses to relieve itching
5. Calamine lotion or colloidal oatmeal baths for open sores
6. Phototherapy, which uses light to heal skin and calm the immune system

Is immediate action necessary when exposed to an allergen or irritant? Yes, if you come into contact with a known trigger, wash the affected area immediately with soap and water to minimize the reaction.

Identifying and Avoiding Triggers: The Key to Managing Contact Dermatitis

How can you identify the substances causing your contact dermatitis? Healthcare professionals may use different methods depending on the type:

For Allergic Contact Dermatitis

Doctors may perform patch testing to identify allergens. This involves:

1. Applying small amounts of test substances to patches
2. Wearing the patches for 2 days
3. Examining the skin to identify which substances cause an allergic reaction

For Irritant Contact Dermatitis

Identifying irritants is often easier, as symptoms typically appear quickly after exposure. Keeping a diary of activities and exposures can help pinpoint the triggers.

Once triggers are identified, the most effective management strategy is to avoid contact with these substances. This may involve changes in daily routines, products used, or protective measures in certain environments.

When to Seek Medical Attention for Contact Dermatitis

While many cases of contact dermatitis can be managed at home, certain situations warrant a visit to a healthcare provider. Consider seeking medical attention if:

• The rash is severe, widespread, or painful
• Symptoms persist or worsen despite home treatment
• The rash affects sensitive areas such as the face, genitals, or eyes
• You develop signs of infection, such as fever or pus-filled blisters
• The rash interferes with daily activities or sleep

A healthcare provider can offer a proper diagnosis, identify potential triggers, and prescribe more potent treatments if necessary.

Preventing Contact Dermatitis: Practical Strategies

While it’s not always possible to prevent contact dermatitis entirely, several strategies can help reduce the risk of developing this condition:

1. Identify and avoid known triggers: Keep a list of substances that cause reactions and avoid them whenever possible.
2. Use protective gear: Wear gloves, long sleeves, or other protective clothing when handling potential irritants or allergens.
3. Choose hypoallergenic products: Opt for fragrance-free, hypoallergenic personal care products and household cleaners.
4. Practice good skin care: Keep your skin moisturized and avoid hot water and harsh soaps that can dry out the skin.
5. Patch test new products: Before using a new skincare product or cosmetic, perform a patch test on a small area of skin to check for reactions.
6. Be cautious outdoors: Learn to identify plants like poison ivy and poison oak, and avoid contact with them.

By implementing these preventive measures, you can significantly reduce your risk of developing contact dermatitis and maintain healthier skin.

Living with Contact Dermatitis: Coping Strategies and Quality of Life

Dealing with contact dermatitis can be challenging, but there are ways to manage the condition and improve your quality of life:

Emotional Impact

Contact dermatitis can affect more than just your skin. It may lead to feelings of frustration, self-consciousness, or even depression. How can you cope with these emotional challenges?

• Seek support from friends, family, or support groups
• Practice stress-reduction techniques like meditation or yoga
• Consider talking to a mental health professional if the condition significantly impacts your well-being

Workplace Considerations

For many people, workplace exposures can trigger or exacerbate contact dermatitis. What steps can you take to manage the condition at work?

• Communicate with your employer about your condition and necessary accommodations
• Use protective equipment appropriate for your work environment
• Advocate for safer alternatives to irritating substances when possible

Lifestyle Adaptations

Living with contact dermatitis may require some lifestyle changes. Consider the following adaptations:

• Modify your wardrobe to avoid fabrics or accessories that trigger reactions
• Adjust your skincare and hygiene routines to accommodate sensitive skin
• Plan ahead for outdoor activities or travel to minimize exposure to potential triggers

By implementing these strategies, you can effectively manage contact dermatitis and maintain a high quality of life despite the challenges posed by the condition.

Contact dermatitis rash: Pictures, treatment, and more

A rash may be a symptom of contact dermatitis, which occurs when a substance irritates a person’s skin. People can use a range of treatments to manage contact dermatitis.

Contact dermatitis is a skin condition that results from contact with certain substances that trigger an allergic reaction. The condition causes a person’s skin to become inflamed or develop a rash.

This article explores what contact dermatitis rash looks like, its causes, and how long it may last. The article also describes contact dermatitis treatment and when to contact a doctor.

Share on PinterestDesign by MNT; Photography by vvoe/Shutterstock & AndreyPopov/Getty Images

While contact dermatitis can affect any area of a person’s body, it commonly appears on people’s hands. They may observe a rash or experience other symptoms in the area of skin that made contact with the triggering substance, although symptoms can later spread to other areas.

When diagnosing contact dermatitis, doctors may look for:

• discolored and irritated skin
• blisters filled with fluid, or oozing blisters
• skin that feels hot or tender
• itchy skin
• swelling
• scaling or crusting skin
• skin lesions

People with severe cases of contact dermatitis may also experience:

• sun sensitivity
• hives
• skin patches that change in texture and appear darker than the rest of the skin

The slideshow below includes images of contact dermatitis.

Doctors have not linked contact dermatitis to other allergic conditions and it does not run in families. People cannot spread contact dermatitis to others.

There are two main types of contact dermatitis, allergic and irritant. A person should speak with a doctor to help identify what triggers their contact dermatitis.

Irritant contact dermatitis

People with irritant contact dermatitis may develop a rash after their skin comes into contact with irritating substances. This will not include an immune response. Irritant contact dermatitis accounts for around 80% of all contact dermatitis cases, making it the most common type of contact dermatitis.

Substances that may cause irritant contact dermatitis include:

• solvents
• detergents
• soaps
• bleach or nickel-containing jewelry
• other nickel-containing objects such as scissors, belt buckles, or zippers
• makeup
• hair dye
• scratchy wool

If a person washes their hands with hot water and soap excessively, this may also trigger an irritant contact dermatitis reaction.

Allergic contact dermatitis

Allergic contact dermatitis involves a delayed allergic reaction. This means a person’s immune system produces the reaction. People often develop allergic contact dermatitis a day or two after their skin comes into contact with an allergen.

Common allergens include:

• poison ivy
• nickel
• nail polish
• poison oak
• latex or rubber
• preservatives
• fragrances

Photocontact dermatitis

People with photoallergic contact dermatitis, or photocontact dermatitis, develop rashes in sunlight. Photocontact dermatitis is a type of allergic contact dermatitis. It occurs after allergens on a person’s skin experience exposure to UV radiation, or sunlight.

Substances that may trigger photocontact dermatitis include:

• sunscreens
• shaving lotions
• some perfumes

Individuals may develop contact dermatitis symptoms up to 10 days after coming into contact with an allergen or irritant. A person with irritant contact dermatitis will typically develop symptoms within minutes of coming into contact with an irritant.

Allergic contact dermatitis may take up to 2–4 weeks to go away, even if a person receives treatment.

If a person avoids contact dermatitis triggers and follows their treatment plan, typically their symptoms will go away.

People with contact dermatitis who come into contact with irritants or allergens should wash the affected area using water and soap immediately.

Dermatologists commonly prescribe the following treatments to people with contact dermatitis:

• topical, oral, or injectable corticosteroids such as hydrocortisone or prednisone
• antihistamines or other allergy treatments
• emollients
• cool compresses to relieve itching
• calamine lotion or colloidal oatmeal baths to treat any open sores that leak
• phototherapy, which uses light to heal skin and calm a person’s immune system

Doctors also recommend people identify and then avoid the irritant or allergen causing their contact dermatitis.

Healthcare professionals may use patch testing to find the substances causing allergic contact dermatitis. A person will wear a patch containing small amounts of test substances for 2 days. The doctor will then examine the person’s skin to find which substance is causing an allergic reaction.

People with irritant contact dermatitis will often easily identify irritants. This is because symptoms can appear within minutes of contact.

A person’s contact dermatitis rash may clear up without treatment. However, doctors recommend people try to treat their symptoms. Healthcare professionals that specialize in dermatology can identify the best treatment and rule out other conditions.

Treatments that work for one person with contact dermatitis may not work for others. If a person finds that their symptoms do not go away, dermatologists can recommend a different approach.

People should not burst any contact dermatitis blisters, due to the risk of infection.

Contact dermatitis is a common condition caused by many triggers that may lead to a rash. Symptoms of contact dermatitis include itching, swelling, and redness in the skin.

The most effective treatment is for a person to identify and avoid their triggering allergens and irritants. However, healthcare professionals can also prescribe treatments to help manage the condition.

Contact dermatitis rash: Pictures, treatment, and more

A rash may be a symptom of contact dermatitis, which occurs when a substance irritates a person’s skin. People can use a range of treatments to manage contact dermatitis.

Contact dermatitis is a skin condition that results from contact with certain substances that trigger an allergic reaction. The condition causes a person’s skin to become inflamed or develop a rash.

This article explores what contact dermatitis rash looks like, its causes, and how long it may last. The article also describes contact dermatitis treatment and when to contact a doctor.

Share on PinterestDesign by MNT; Photography by vvoe/Shutterstock & AndreyPopov/Getty Images

While contact dermatitis can affect any area of a person’s body, it commonly appears on people’s hands. They may observe a rash or experience other symptoms in the area of skin that made contact with the triggering substance, although symptoms can later spread to other areas.

When diagnosing contact dermatitis, doctors may look for:

• discolored and irritated skin
• blisters filled with fluid, or oozing blisters
• skin that feels hot or tender
• itchy skin
• swelling
• scaling or crusting skin
• skin lesions

People with severe cases of contact dermatitis may also experience:

• sun sensitivity
• hives
• skin patches that change in texture and appear darker than the rest of the skin

The slideshow below includes images of contact dermatitis.

Doctors have not linked contact dermatitis to other allergic conditions and it does not run in families. People cannot spread contact dermatitis to others.

There are two main types of contact dermatitis, allergic and irritant. A person should speak with a doctor to help identify what triggers their contact dermatitis.

Irritant contact dermatitis

People with irritant contact dermatitis may develop a rash after their skin comes into contact with irritating substances. This will not include an immune response. Irritant contact dermatitis accounts for around 80% of all contact dermatitis cases, making it the most common type of contact dermatitis.

Substances that may cause irritant contact dermatitis include:

• solvents
• detergents
• soaps
• bleach or nickel-containing jewelry
• other nickel-containing objects such as scissors, belt buckles, or zippers
• makeup
• hair dye
• scratchy wool

If a person washes their hands with hot water and soap excessively, this may also trigger an irritant contact dermatitis reaction.

Allergic contact dermatitis

Allergic contact dermatitis involves a delayed allergic reaction. This means a person’s immune system produces the reaction. People often develop allergic contact dermatitis a day or two after their skin comes into contact with an allergen.

Common allergens include:

• poison ivy
• nickel
• nail polish
• poison oak
• latex or rubber
• preservatives
• fragrances

Photocontact dermatitis

People with photoallergic contact dermatitis, or photocontact dermatitis, develop rashes in sunlight. Photocontact dermatitis is a type of allergic contact dermatitis. It occurs after allergens on a person’s skin experience exposure to UV radiation, or sunlight.

Substances that may trigger photocontact dermatitis include:

• sunscreens
• shaving lotions
• some perfumes

Individuals may develop contact dermatitis symptoms up to 10 days after coming into contact with an allergen or irritant. A person with irritant contact dermatitis will typically develop symptoms within minutes of coming into contact with an irritant.

Allergic contact dermatitis may take up to 2–4 weeks to go away, even if a person receives treatment.

If a person avoids contact dermatitis triggers and follows their treatment plan, typically their symptoms will go away.

People with contact dermatitis who come into contact with irritants or allergens should wash the affected area using water and soap immediately.

Dermatologists commonly prescribe the following treatments to people with contact dermatitis:

• topical, oral, or injectable corticosteroids such as hydrocortisone or prednisone
• antihistamines or other allergy treatments
• emollients
• cool compresses to relieve itching
• calamine lotion or colloidal oatmeal baths to treat any open sores that leak
• phototherapy, which uses light to heal skin and calm a person’s immune system

Doctors also recommend people identify and then avoid the irritant or allergen causing their contact dermatitis.

Healthcare professionals may use patch testing to find the substances causing allergic contact dermatitis. A person will wear a patch containing small amounts of test substances for 2 days. The doctor will then examine the person’s skin to find which substance is causing an allergic reaction.

People with irritant contact dermatitis will often easily identify irritants. This is because symptoms can appear within minutes of contact.

A person’s contact dermatitis rash may clear up without treatment. However, doctors recommend people try to treat their symptoms. Healthcare professionals that specialize in dermatology can identify the best treatment and rule out other conditions.

Treatments that work for one person with contact dermatitis may not work for others. If a person finds that their symptoms do not go away, dermatologists can recommend a different approach.

People should not burst any contact dermatitis blisters, due to the risk of infection.

Contact dermatitis is a common condition caused by many triggers that may lead to a rash. Symptoms of contact dermatitis include itching, swelling, and redness in the skin.

The most effective treatment is for a person to identify and avoid their triggering allergens and irritants. However, healthcare professionals can also prescribe treatments to help manage the condition.

Dermatovenerology: Contact dermatitis – diagnosis and treatment in St. Petersburg, price

Contact dermatitis – acute or chronic inflammation of the skin caused by direct contact with an irritating chemical (irritant) or allergen.

Features of the disease

• previous sensitization to the substance that caused the dermatitis,
• the presence of a latent period between exposure to a damaging agent and the development of dermatitis (24-48 hours),
• activation after this exposure of the inflammatory process in all areas of the skin ever sensitized by this allergen,
• allergy resistant for many years.

There are several types of dermatitis

• Atopic dermatitis is often associated with hereditary predisposition (passed down from generation to generation) and other allergic diseases such as asthma and hay fever.
• Contact dermatitis (KD) occurs after skin contact of a predisposed person with a certain substance that causes inflammation. There are two main types of contact dermatitis: allergic and irritant (irritable).
• Allergic KD is a type of dermatitis caused by exposure to an allergen. An allergen is a substance that leads to the development of a pathological “wrong” reaction of the immune system (normally, immunity fights diseases and infections). At the first contact with the allergen, the patient becomes sensitive to it (sensitized). With repeated contact with the substance, such a person has a reaction.
• Irritant KD – inflammation of the skin resulting from direct skin contact with an irritant. An irritant is a substance that damages the skin, causing it to become inflamed. This type of dermatitis can occur in most people after exposure to irritants of sufficient duration. Both types of dermatitis can lead to redness, dryness, cracked skin, and blistering, blisters, and other breakouts.

Sometimes the same person may experience both an irritant and an allergic KD at the same time.

Irritant KD is more common than allergic KD. About 80% of KD cases are caused by irritants (irritants). About 75% of all cases of CD occur in the area of ​​the hands. It happens more often in women. About 20% of women experience KD symptoms during their lifetime. CD can develop at any age. Older people may be more sensitive to medications, women to cosmetics.

Symptoms of contact dermatitis

Both allergic and irritant KD can lead to the following skin changes: redness, inflammation, blistering and blisters, dryness, thickening, cracks. The most commonly involved areas of the skin are the hands and face. Often, in addition to the skin in the area of ​​​​contact with the allergen, the reaction spreads to other areas of the skin where there was no such contact. With a KD irritant, unlike an allergic one, only the skin in the contact area is affected.

Possible causes of allergic contact dermatitis

• metals – nickel, cobalt, others,
• cosmetics – perfume, hair dye, nail polish,
• rubber – latex,
• textiles – paints, rubber, rosin,
• adhesives and adhesives – epoxy resins and others,
• certain plants – chrysanthemums, tulips, primroses and others,
• certain medicated creams – steroid and others.

Possible causes of irritant contact dermatitis

• detergents and soaps,
• preservatives and perfumes,
• solvents,
• oils,
• acids and alkalis,
• cement powder,
• water (especially hard, calcareous or highly chlorinated),
• dust,
• fertilizers,
• some plants – anemone, mustard and others.

Often exposure to irritants is part of the job, so these workers are at risk for developing irritant KD. This type of work includes: cooking, house cleaning, hairdressing, agriculture and fishing, engineering, repair and construction, medicine, dentistry and veterinary medicine, drawing.

Diagnosis of contact dermatitis

If contact factors can be identified from the patient’s medical history, then in the future it is necessary to take maximum measures to eliminate them and reduce contact.

Patch testing (applications “patch tests”) – the main method for diagnosing irritants or allergens is the use. During testing, small amounts of several substances are added to the patient’s skin. Substances are attached to the back of the patient using a special hypoallergenic adhesive plate. After 24-48 hours, the tests are removed and whether there is a skin reaction to the diagnosed substances is assessed. In some cases, it is necessary to come to the doctor 1-2 more times in a few days to evaluate possible delayed reactions.

Treatment of contact dermatitis

With the help of drugs, you can effectively eliminate the symptoms of contact dermatitis. During therapy, in some patients, the symptoms disappear completely, in others, improvement of varying severity occurs. Identifying and eliminating exposure to potential allergens or irritants is one important part of treating contact dermatitis. If the patient can successfully avoid such contact, then he will not develop any symptoms. If complete elimination of contact cannot be achieved, the doctor will help to minimize it.

In case of professional contact with allergens and irritants, it is necessary to use protective equipment (clothes, gloves). Emollients are substances that soften and moisturize the skin. They are especially useful for contact dermatitis, as with this disease, dryness and cracks of the skin often occur. The type of emollient is chosen by the doctor depending on: the severity of dryness, skin area, individual preferences. You will also need various emollients at different stages of the disease: in the acute stage – one, in the chronic – another, etc.

Topical corticosteroids. In the acute stage of the disease, when the skin has redness, inflammation, rashes, and pain is present, the doctor may prescribe a topical glucocorticosteroid (MGC). This type of medication is used to quickly reduce skin inflammation. It is applied precisely in the area of ​​contact and skin lesions.

Prevention of contact dermatitis

The best way to prevent contact dermatitis is to avoid contact with allergens and irritants that cause symptoms. If this is not possible, it is necessary to: clean, wash off the causative factor from the skin after contact with water, use protective equipment (masks, clothing, gloves), check all products, read labels to identify possible content of causative factors.

Contact dermatitis – causes, symptoms, methods of diagnosis and treatment

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The Hadassah clinic uses comprehensive treatment regimens for contact dermatitis in adults, which are aimed at eliminating symptoms, finding and eliminating provoking factors of the disease. The combination of medical and physiotherapeutic effects allows you to quickly save the patient from the problem and prevent its recurrence.

Contact dermatitis (simple irritant, irritant, artificial dermatitis) is an inflammatory skin disease that occurs in response to contact with irritants. Its features: pathological manifestations directly at the site of exposure to the damaging agent and spontaneous improvement in the condition of the skin after the cessation of the influence of the irritant. Symptoms of contact dermatitis occur in at least 10% of patients who come with complaints to a dermatologist.

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Gryazeva
Natalia Vladimirovna

Dermatovenereologist, cosmetologist, Ph.D.

Work experience: 11 years

Cost of admission: from 9000 ₽

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Dzimtseishvili
Lala Dazmirovna

Dermatologist, cosmetologist

Work experience: 6 years

Appointment fee: from 6000 ₽

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Zhukova
Daria Grigoryevna

Allergist-immunologist, Ph.D.

Work experience: 14 years

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Zaitseva
Galina Valerievna

Allergist-immunologist

Work experience: 10 years

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Maiorov
Roman Yurievich

Dermatovenereologist, podologist

Work experience: 3 years

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Stolyarova
Irina Evgenievna

Dermatologist, cosmetologist

Work experience: 24 years

Cost of admission: from 6500 ₽

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Surkichin
Sergey Ivanovich

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Work experience: 17 years

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Benefits of treatment at the Hadassah clinic

The latest treatment standards

When choosing therapy, doctors are guided by current international recommendations and protocols, actively apply the experience of colleagues from other countries.

Comprehensive diagnostics

Thanks to its own laboratory and premium equipment for instrumental diagnostics, Hadassah Clinic provides all types of examinations in the shortest possible time in one place.

Personal approach

Dermatologists select a treatment program individually, taking into account predisposing factors and the general health of a particular patient.

Multidisciplinarity

Doctors of all specialties work in the clinic, which allows timely diagnosis and detection of concomitant processes that can provoke or aggravate the course of dermatoses.

Patient care

We provide a friendly, attentive and comfortable atmosphere to relieve the individual of unnecessary stress when visiting the clinic and to maintain a positive attitude, which is essential for successful treatment.

Quality medicines

Cooperation with leading pharmaceutical companies allows us to use certified and effective medicines for therapy without supply problems.

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Symptoms of contact dermatitis

The disease is more often recorded in women. Statistics indicate single episodes in more than 20% of women during their lifetime. This is due to constant contact with cleaning products when cleaning the house and washing dishes, regular use of cosmetics.

It is worth seeking medical help if skin lesions on the hands do not resolve on their own within a few days after exposure to a damaging agent, or when there is prolonged occupational contact with a harmful substance.

What contact dermatitis looks like depends on its clinical course: the inflammatory process can occur in acute, subacute and chronic forms.

Acute dermatosis is characterized by:

• bright erythema in the form of distinct red spots located in the contact zones with the irritating agent;
• pruritus;
• various elements of the rash: nodules, vesicles, areas of weeping, less often scales, crusts;
• pain and burning sensation on affected skin.

Subacute and chronic forms of simple contact dermatitis are accompanied by proliferation of the stratum corneum of the epidermis (hyperkeratosis), areas of lichenification (pathological thickening of the skin), necrosis of certain areas of the dermis with the formation of difficult-to-heal ulcers and wounds.

The skin lesion develops gradually, at first not attracting the attention of the patient, and is characterized by episodes of improvement (at the time of cessation of contact with the damaging substance) and repeated deterioration of the condition. Sometimes, with subacute irritant dermatitis, an increase in local temperature is observed: the patient notes the sensation of “hot hands”.

Causes of development

The disease occurs when the skin interacts with irritants. The causes of contact dermatitis are chemical compounds (acids, alkalis), physical factors (high and low temperatures, pressure and friction), as well as ionizing radiation. The trigger is also mechanical damage from prolonged friction and tissue compression.

All of the above causes can act aggressively, causing an acute process, or gradually, in small doses, as a result of which a chronic disease develops.

Skin lesions are much more likely to occur in people with risk factors:

• prolonged contact with a pathological agent at home or at work;
• the presence of microtraumas and abrasions on the skin that is in contact with the irritant;
• chronic dermatological diseases.

Unlike allergic contact dermatitis, the irritant does not cause sensitization of the body and does not activate immune mechanisms. The cause of the disease is those agents that cause skin reactions in all people, and not just in a small number of predisposed individuals.

Diagnostic methods

Despite the relatively favorable course and the absence of life-threatening consequences, contact dermatitis is a serious disease that requires a mandatory visit to a dermatologist. An important role in the diagnosis is played by a detailed history taking: a specialist needs to know about the working conditions and daily life of a person in order to suggest the etiological factors of dermatosis. To cure contact dermatitis, complete information about the state of health and differentiation of the disease with other dermatoses that have a similar clinical picture will be required. For this purpose appoint:

Dermoscopy

examination of the surface of skin elements under multiple magnification;

Examination of affected skin scrapings

for fungal, bacterial or viral infection;

Histological analysis of biopsy specimens

to assess the degree of morphological changes in the epidermis and dermis.

Since the treatment of allergic contact dermatitis differs from the treatment of the artificial form of the disease, the doctor necessarily conducts blood tests and allergy tests to exclude the immune nature of the symptoms. Determination of individual allergens is necessary to limit the patient’s contact with them and avoid systemic reactions in the future.

Artifical dermatitis treatment

Therapy is carried out under the guidance of a dermatologist. In uncomplicated forms of the disease, the doctor is limited to the use of topical agents that stop subjective sensations and contribute to the regression of skin manifestations. The standard treatment program includes the following drugs:

• ointments for contact dermatitis, which contain cooling and anti-inflammatory components, relieve itching and burning in the affected areas of the body;
• antiseptics for treatment of foci of weeping and prevention of secondary infection;
• drying pastes for the elimination of weeping formed after the opening of large blisters;
• emollients, softening and healing creams for daily skin care during the healing phase;
• agents with topical corticosteroids for chronic dermatosis, profuse desquamation and lichenification.

Do not purchase and use solutions and ointments for the treatment of contact dermatitis on your own. All appointments should be made by a doctor after an examination, a final diagnosis.

Complicated forms of the disease, accompanied by suppuration and tissue necrosis, are treated in a hospital with the addition of detoxification agents, systemic hormonal drugs. To prevent infectious complications, antibiotic therapy, antifungal therapy are carried out.

Treatment and prevention of contact dermatitis in the Hadassah clinic

The modern approach to treatment used by the specialists of the Hadassah clinic involves a comprehensive diagnosis and determination of the exact causes of dermatitis. Advanced allergological tests are carried out, which examine the reaction of the skin to a large number of agents that can potentially provoke the disease.

Doctors prefer to treat contact dermatitis in a complex way, using all available methods of therapy and recovery (including physiotherapy programs). This allows you to accelerate the result of treatment, significantly strengthen the protective barrier of the skin and prevent the recurrence of symptoms.

For disease prevention it is recommended:

• wear protective clothing and gloves when working in hazardous industries;
• strictly observe safety precautions when in contact with physical and chemical agents;
• for home use, choose gentle household chemicals and, if possible, use them with rubber gloves;
• Purchase only certified skin care and decorative cosmetics, never use expired products.

If a potentially irritating substance comes into contact with the skin, immediately wash it off with plenty of water and observe the skin condition. If redness and itching are absent, there is no cause for concern. Otherwise, you should consult a dermatologist.

If contact dermatitis is suspected, immediately contact the Hadassah clinic doctors to undergo a full diagnosis and get the right treatment regimen that will quickly relieve unpleasant symptoms.

Text verified by an expert doctor

Gryazeva
Natalya Vladimirovna

Dermatovenereologist, cosmetologist, Ph.D.

Work experience: 11 years

Published: 06/24/2022

Updated: 06/24/2022

The information presented on the site is for reference only and cannot serve as a basis for making a diagnosis or prescribing treatment. Internal consultation of the expert is necessary.

SOURCES

• Dolnikova O. A., Letyaeva O. I., Prozorova Yu. P. Contact dermatitis under conditions of COVID-19 // South Ural medical journal. – 2021. – No. 1. – S. 42-52.
• Yablonsky K. E. Diagnosis and prevention of contact dermatitis //Science and education: problems and innovations. – 2021. – S. 135-137.
• Osmonaliev M. K. et al. Clinical indications for the management of patients with allergic contact dermatitis // Science, new technologies and innovations in Kyrgyzstan. – 2019. – No. 1. – S. 62-66.
• Patel K, Nixon R. Irritant Contact Dermatitis—a Review. Curr Dermatol Rep. 2022;11(2):41-51. doi: 10.1007/s13671-021-00351-4. Epub 2022 Apr 7. PMID: 35433115; PMCID: PMC8989112.
• Martin SF, Rustemeyer T, Thyssen JP. Recent advances in understanding and managing contact dermatitis. F1000Res. 2018 Jun 20;7:F1000 Faculty Rev-810. doi: 10.12688/f1000research.13499.1. PMID: 29983912; PMCID: PMC6013761.
• Murphy PB, Atwater AR, Mueller M. Allergic Contact Dermatitis. [Updated 2022 Sep 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-.
• Statescu L, Branisteanu D, Dobre C, Solovastru LG, Vasilca A, Petrescu Z, Azoicai D. Contact dermatitis – epidemiological study. Maedica (Bucur). 2011 Oct;6(4):277-81. PMID: 22879841; PMCID: PMC3391944.
• Novak-Bilić G, Vučić M, Japundžić I, Meštrović-Štefekov J, Stanić-Duktaj S, Lugović-Mihić L. Irritant and allergic contact dermatitis—skin lesion characteristics. Acta Clin Croat. 2018 Dec;57(4):713-720. doi: 10.20471/acc.2018.57.04.13. PMID: 31168208; PMCID: PMC6544100.

Prices for dermatology services

Dermatology

Primary appointment (examination, consultation) with a dermatovenereologist	6 500 ₽ 904 10
Repeated appointment (examination, consultation) with a dermatovenereologist	5,500 ₽
Preventive appointment (examination, consultation) with a dermatovenereologist	2,500 ₽

Appointment (examination, consultation) with a dermatovenereologist, PhD, primary	9,000 ₽
Appointment (examination, consultation) with a dermatovenereologist, PhD, repeated	7 5 00 ₽

Primary remote consultation with a dermatovenereologist	6 500 ₽
Repeated remote consultation with a dermatovenereologist	5,500 ₽
Remote consultation with a dermatovenereologist, PhD, primary	9 000 ₽
Remote consultation of a dermatovenerologist, PhD, repeated	7 500 ₽

9 0002

Remote consultation with a dermatovenereologist of the Israeli clinic Hadassah Medical Avraham Zlotogorsky nerologist, professor, Israeli clinic Hadassah Medical Gershko Klila	44 000 ₽
Reception (examination, consultation) of the leading allergist, professor, head of the Department of Internal Medicine of the Israeli clinic Hadassah Medical Gershko Alon	44 000 ₽
nerologist, founder and director of the clinic of dermatological surgery at the Chaim Sheba Medical Center (Tel Hashomer) Baruch Kaplan	55,000 ₽
Hashomer) Baum Sharon	76 000 ₽

90 409 51 000 ₽

904 09 Skin biopsy (punch biopsy)

9 0409 7 200 ₽

Taking a sample of biological material from lesions of the oral organs	1 400 ₽ 9041 0
Diathermocoagulation (electro-) of vascular tumors (telangiectasias, hemangiomas), 1-10 elements	7 300 ₽
(1 degree of complexity)	2 900 ₽
Cryosurgery of mollusks, warts, etc. (2 degree of difficulty)	14 300 ₽
Cryosurgery for molluscs, warts, etc. (3rd degree of complexity)	28 600 ₽
Cryosurgery of molluscs, warts, etc. (4 degree of complexity)	51 000 ₽
Cryosurgery of molluscs, warts, etc. (5th degree of complexity)	72 000 ₽
Field photothermolysis of the zone of the upper and lower eyelids	21 500 ₽
Field photothermolysis of the face	51 000 ₽
Fractional photothermolysis of the neck area	51 000 ₽
Fractional photothermolysis of the decollete area
Fractional photothermolysis of the face and neck area	72 000 ₽
Fractional photothermolysis of the face, neck and decollete area	86,000 RUB
Taking urethral, ​​vaginal or anal swabs	1,400 RUB
Taking urethral, ​​vaginal or anal scrapings	1 400 ₽
Taking the nail plate for analysis	1 400 ₽
Taking hair for analysis on pathogenic flora	1 400 ₽
Taking flakes of skin for analysis on pathogenic flora	1 400 ₽
11 500 ₽
Curettage of skin neoplasms on the face, neck and head	23 700 ₽
Curettage of neoplasms on the trunk	19 400 ₽
Curettage of neoplasms on the extremities	17 200 ₽
Biorevitalization of facial soft tissues	11 500 ₽
Introduction of biorevitalizant-bioreparant, 1 ml.	25 800 ₽
Introduction of biorevitalizant-bioreparant, 2 ml.	42 000 ₽
Lipolytic mesotherapy	7 200 ₽
Intralesional injection of a therapeutic drug	11 600 ₽
Injection of the drug into keloid and hypertrophic scars
Laser treatment of scars from 1 to 3 cm (linear)	10 100 ₽
Laser treatment of scars 5 x 5 cm	21 500 ₽
Laser treatment of scars measuring 10 x 10 cm	36 000 ₽
Botulinum toxin injection (without the cost of the drug), 30 minutes	9 52 000 ₽
Treatment of psoriasis with the genetically engineered drug Efleira (3 procedures)	148 000 ₽
Dermatological peeling (chemical peeling of the face) 904 10	11 000 ₽
Hardware processing of the nail plate	4 000 ₽
Hardware treatment of feet without cracks	4 000 ₽
Hardware treatment of feet with cracks	4 000
Removal of ingrown nail by podological method	4000 413
Installation of corrective systems (titanium thread)	4,000 ₽
0410	8 000 ₽

Radio wave removal of skin neoplasms, 1 element (1 degree of complexity)	3 700 ₽
Radio wave removal of skin neoplasms, 1 element (2nd degree of complexity)	7 300 ₽ 0 ₽

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