What are the common symptoms of contact dermatitis. How is contact dermatitis diagnosed. What are the most effective treatments for contact dermatitis. Can contact dermatitis be prevented. How long does it take for contact dermatitis to clear up. What are the differences between allergic and irritant contact dermatitis. Are there any natural remedies for managing contact dermatitis.

Understanding Contact Dermatitis: Types and Causes

Contact dermatitis is a common inflammatory skin condition that occurs when the skin comes into contact with irritants or allergens. There are two main types of contact dermatitis:

• Irritant contact dermatitis: Caused by direct skin damage from exposure to harsh chemicals, detergents, or physical irritants
• Allergic contact dermatitis: Results from an immune system reaction to an allergen, such as nickel, latex, or certain plants

What triggers contact dermatitis. Common causes include:

• Soaps, detergents, and cleaning products
• Cosmetics and personal care items
• Metals (especially nickel)
• Plants like poison ivy or oak
• Industrial chemicals
• Latex
• Certain fabrics or dyes

Recognizing the Symptoms of Contact Dermatitis

Identifying contact dermatitis early is crucial for effective management. The symptoms can vary depending on the type and severity of the condition, but commonly include:

• Redness and inflammation
• Itching or burning sensation
• Dry, cracked, or scaly skin
• Swelling
• Blisters or fluid-filled bumps
• Pain or tenderness

How quickly do symptoms of contact dermatitis appear. The onset of symptoms can vary:

• Irritant contact dermatitis: Symptoms often appear within minutes to hours of exposure
• Allergic contact dermatitis: Reactions typically develop 24-48 hours after exposure

Diagnosing Contact Dermatitis: Methods and Challenges

Accurate diagnosis of contact dermatitis is essential for effective treatment. Healthcare providers employ various methods to identify the condition and its underlying cause:

Visual Examination and Medical History

The first step in diagnosis involves a thorough visual examination of the affected skin and a detailed discussion of the patient’s medical history. This includes:

• Assessing the appearance and distribution of the rash
• Discussing potential exposures to irritants or allergens
• Reviewing the timeline of symptom onset and progression
• Considering any previous skin conditions or allergies

Patch Testing

Patch testing is a valuable diagnostic tool for identifying specific allergens causing allergic contact dermatitis. How is patch testing performed.

1. Small amounts of potential allergens are applied to patches
2. Patches are placed on the patient’s back
3. The skin is examined for reactions after 48 hours and again at 72-96 hours
4. Positive reactions indicate an allergy to the tested substance

Skin Biopsy

In some cases, a skin biopsy may be necessary to rule out other skin conditions or to confirm the diagnosis of contact dermatitis. This involves removing a small sample of affected skin for microscopic examination.

Effective Treatment Strategies for Contact Dermatitis

The primary goals of contact dermatitis treatment are to relieve symptoms, heal the skin, and prevent future flare-ups. Treatment options include:

Avoidance of Triggers

Identifying and avoiding the substances causing the reaction is crucial. This may involve:

• Keeping a diary of exposures and symptoms
• Reading product labels carefully
• Using protective gear when handling potential irritants

Topical Treatments

Various topical medications can help manage symptoms and promote healing:

• Corticosteroid creams or ointments: Reduce inflammation and itching
• Calcineurin inhibitors: Tacrolimus and pimecrolimus can modulate the immune response
• Barrier creams: Protect the skin from irritants

Oral Medications

In severe cases, oral treatments may be prescribed:

• Antihistamines: Relieve itching
• Oral corticosteroids: For short-term use in severe flare-ups
• Antibiotics: If secondary bacterial infection is present

Phototherapy

For chronic or widespread contact dermatitis, ultraviolet light therapy may be beneficial. This treatment can help reduce inflammation and itching.

Prevention Strategies: Minimizing the Risk of Contact Dermatitis

Preventing contact dermatitis involves a combination of awareness, protection, and skin care. Key prevention strategies include:

• Identifying and avoiding known triggers
• Using protective gloves and clothing when handling potential irritants
• Applying barrier creams before exposure to irritants
• Maintaining good skin hygiene and moisturizing regularly
• Choosing hypoallergenic products when possible
• Patch testing new products on a small area of skin before widespread use

How effective are these prevention strategies. While they can significantly reduce the risk of contact dermatitis, complete prevention may not always be possible, especially for individuals with highly sensitive skin or those exposed to irritants in their work environment.

Natural Remedies and Complementary Approaches

In addition to conventional treatments, some individuals find relief from contact dermatitis symptoms through natural remedies and complementary approaches. These may include:

• Colloidal oatmeal baths: Soothe itchy and inflamed skin
• Aloe vera gel: Provides cooling and healing properties
• Coconut oil: Moisturizes and may have anti-inflammatory effects
• Chamomile tea compresses: Reduce inflammation and promote healing
• Vitamin E oil: Supports skin repair and moisture retention

Are natural remedies as effective as conventional treatments for contact dermatitis. While some natural remedies can provide symptomatic relief, they may not be sufficient for severe cases or allergic reactions. It’s important to consult with a healthcare provider before relying solely on natural remedies, especially for persistent or severe symptoms.

Living with Contact Dermatitis: Coping Strategies and Lifestyle Adjustments

Managing contact dermatitis often requires ongoing attention and lifestyle modifications. Here are some strategies to help individuals cope with the condition:

Skin Care Routine

Developing a gentle and consistent skin care routine is crucial:

• Use lukewarm water for bathing or showering
• Choose mild, fragrance-free cleansers
• Pat the skin dry gently, avoiding rubbing
• Apply moisturizer immediately after bathing
• Reapply moisturizer throughout the day as needed

Clothing Choices

Selecting appropriate clothing can help prevent flare-ups:

• Opt for loose-fitting, breathable fabrics like cotton
• Avoid rough or scratchy materials
• Remove labels or tags that may irritate the skin
• Wash new clothes before wearing to remove potential irritants

Stress Management

Stress can exacerbate contact dermatitis symptoms. Implementing stress-reduction techniques can be beneficial:

• Practice mindfulness or meditation
• Engage in regular exercise
• Maintain a healthy sleep schedule
• Seek support from friends, family, or support groups

Workplace Accommodations

For individuals whose contact dermatitis is related to workplace exposures, consider:

• Discussing potential accommodations with employers
• Using protective equipment consistently
• Advocating for safer alternatives to irritating substances
• Taking regular breaks to care for your skin

How can individuals effectively communicate their needs related to contact dermatitis in the workplace. Open and honest communication with supervisors and coworkers is key. Providing educational materials about the condition and its triggers can help foster understanding and support.

The Future of Contact Dermatitis Treatment: Emerging Research and Therapies

As our understanding of contact dermatitis grows, new treatment approaches are being developed. Some promising areas of research include:

Targeted Immunotherapy

Researchers are exploring ways to modulate the immune response specifically in allergic contact dermatitis, potentially leading to more effective and targeted treatments.

Microbiome-based Therapies

Studies are investigating the role of the skin microbiome in contact dermatitis and developing treatments that harness beneficial bacteria to promote skin health.

Nanotechnology

Nanoparticle-based delivery systems for medications may improve the efficacy of topical treatments and reduce side effects.

Gene Therapy

Understanding the genetic factors contributing to contact dermatitis susceptibility may lead to personalized treatment approaches in the future.

What potential impact could these emerging therapies have on contact dermatitis management. While still in various stages of research and development, these innovative approaches hold promise for more effective, targeted, and personalized treatments that could significantly improve quality of life for individuals with contact dermatitis.

Conclusion: Empowering Patients in Contact Dermatitis Management

Contact dermatitis, while often challenging to manage, can be effectively controlled with the right approach. Key takeaways for successful management include:

• Early identification and avoidance of triggers
• Consistent use of appropriate skincare and medications
• Regular follow-up with healthcare providers
• Adoption of lifestyle modifications to support skin health
• Staying informed about new developments in treatment options

By combining medical guidance with self-care strategies, individuals with contact dermatitis can significantly improve their symptoms and quality of life. Remember that each case is unique, and what works for one person may not be ideal for another. Patience, persistence, and open communication with healthcare providers are essential components of successful long-term management.

Types, Symptoms, Treatments, & More

Written by WebMD Editorial Contributors

• What Are Rashes?
• Eczema
• Granuloma Annulare
• Lichen Planus
• Pityriasis Rosea

Rashes are abnormal changes in skin color or texture. They usually result from skin inflammation, which can have many causes.

There are many types of rashes, including eczema, granuloma annulare, lichen planus, and pityriasis rosea.

Eczema is a general term that describes several different conditions in which skin is inflamed, red, scaly, and itchy. Eczema is a common skin condition, and atopic dermatitis (also called atopic eczema) is one of the most common forms of eczema.

Eczema can affect adults or children. The condition isn’t contagious. View a slideshow to get an overview on eczema.

Causes

We don’t know for sure what causes atopic eczema, but the condition often affects people with a family history of allergies. If you have eczema, you may also have hay fever and/or asthma, or have family members with those conditions.

Some things can trigger a flare-up of eczema or make eczema worse, but they don’t cause the condition. Eczema triggers include stress, skin irritants (including soaps, skin care products, or some fabrics), allergens, and climate/environment. Learn more about the link between allergies and eczema.

Symptoms

The way eczema looks can vary from person to person. In adults, eczema most often affects the hands, elbows, and “bending” areas like the inside of the elbows and back of your knees. In young children, eczema often shows up inside the elbows, behind the knees, and on the face, back of the neck, and scalp. Signs and symptoms of atopic eczema include:

• Itchiness
• Skin redness
• Dry, scaly, or crusted skin that might become thick and leathery from long-term scratching
• Formation of small, fluid-filled blisters that might ooze when scratched
• Infection of the areas of broken skin

Diagnosis

To diagnose atopic eczema, the doctor will check your skin and ask about your symptoms. They might test an area of scaly or crusty skin to rule out other skin diseases or infections. Find out more on the symptoms and diagnosis of eczema.

Treatment

You can treat eczema with moisturizers that are fragrance-free and contain ingredients such as ceramides, glycerin, and mineral oil. Medications include over-the-counter creams and ointments containing the steroid hydrocortisone (for example, Cortizone-10, Cort-Aid, Dermarest Eczema, Neosporin Eczema). These products may help control the itching, swelling, and redness linked to eczema. Prescription-strength cortisone creams, as well as cortisone pills and shots, are also used for more severe cases.

For people with mild to moderate eczema, topical immunomodulators (TIMs) can help. TIMS — including brand name products Elidel and Protopic — work by changing the body’s immune response to allergens, preventing flare-ups.

Crisaborole (Eucrisa) is an ointment for mild to moderate psoriasis in those 2 and older.

Dupilumab (Dupixent) is an injectable monoclonal antibody used in patients with moderate to severe atopic dermatitis. It clears the itch quickly in most patients.

Other drugs that might be used for people with eczema include antibiotics (to treat infected skin) and antihistamines (to help control itching).

Phototherapy is another treatment that helps some people with eczema. The ultraviolet light waves found in sunlight have been shown to help treat certain skin disorders, including eczema. Phototherapy uses ultraviolet light — either ultraviolet A (UVA) or ultraviolet B (UVB) — from special lamps to treat people with severe eczema.

Risks linked to phototherapy include burning (usually resembling a mild sunburn), dry skin, itchy skin, freckling, and possible premature aging of the skin. Your health care professionals will work with you to lessen any risks. Get more details about treatments for eczema.

Prevention

There’s no way to prevent atopic eczema, but you can do things to improve your symptoms:

• Reduce stress
• Avoid scratchy materials (for example, wool) and chemicals such as harsh soaps, detergents, and solvents
• Moisturize often
• Avoid sudden changes in temperature or humidity
• Avoid situations that cause sweating and overheating

Read more on how to prevent eczema flare-ups.

Granuloma annulare is a chronic skin condition that consists of a circular-shaped rash with reddish bumps (papules). People who have granuloma annulare usually notice one or more rings of small, firm bumps over the backs of their forearms, hands, or feet. The rash may be mildly itchy. It’s not known what causes it and they usually go away on their own, although steroids may be prescribed. The condition most often affects children and young adults and is slightly more common in girls.

Granuloma annulare is a chronic skin condition that consists of a circular-shaped rash with reddish bumps (papules).

Most often, the condition affects children and young adults. Granuloma annulare is slightly more common in girls and usually is seen in people who are otherwise healthy.

Causes

We don’t know what causes granuloma annulare.

Symptoms

People who have granuloma annulare usually notice one or more rings of small, firm bumps over the backs of their forearms, hands, or feet. The rash may be mildly itchy.

Diagnosis

Your doctor can diagnose you. They might use a skin biopsy to confirm you have granuloma annulare.

Treatment

Treatment of granuloma annulare usually isn’t necessary, except for cosmetic reasons. In some cases, steroid creams or ointments can help the bumps disappear. Some doctors may decide to freeze the lesions with liquid nitrogen or to inject steroids directly into the rings of bumps. Ultraviolet light therapy or oral drugs can be used in serious cases.

See a photo of what granuloma annulare looks like.

Lichen planus is a common skin disorder that produces shiny, flat-topped bumps. They often have an angular shape and a reddish-purplish color. Lichen planus can show up anywhere on the skin but often affects the insides of your wrists and ankles, your lower legs, your back, and your neck. Some people have lichen planus inside their mouth, genital region, scalp, and nails. Thick collections of bumps may occur, especially on the shins.

Lichen planus most often affects adults ages 30-70. It isn’t common in very young or elderly people.

Causes

Doctors think lichen planus is an autoimmune condition, meaning your body’s immune system attacks its own tissues. But they don’t know what causes it. Sometimes lichen planus results from a triggering agent such as hepatitis B or hepatitis C. Doctors call that a lichenoid reaction.

If you’re allergic to medications to treat high blood pressure, heart disease, and arthritis, you could get a lichen planus-type rash. Lichen planus isn’t contagious.

Symptoms

Signs and symptoms of the condition include shiny, flat-topped bumps that are purple or a reddish-purplish color. It’s often itchy. When it shows up on your scalp, lichen planus can lead to hair loss. Lichen planus of the nails can cause brittle or split nails.

Diagnosis

A doctor can diagnose lichen planus by the way it looks or with the use of a skin biopsy. For this procedure, they’ll take a small bit of skin from the affected area and send it to a lab for testing.

Treatment

Lichen planus can’t be cured, but you can treat the symptoms with anti-itch products like antihistamines (for example, Benadryl, or diphenhydramine). If lichen planus affects only a small part of the body, you can apply medicated cream to the affected area. In more severe cases, doctors might prescribe steroid shots, prednisone, or other drugs that suppress your immune system. They might also give you retinoids or try light therapy.

View a slideshow to see photos of lichen planus and other skin reactions.

Pityriasis rosea is a common skin rash that usually is mild. The condition often begins with a large, scaly, pink patch of skin on your chest or back. Next you’ll notice one patch of pink skin quickly followed by more. Your skin will be itchy and red or inflamed. The number and sizes of spots can vary.

Causes

We don’t know what causes pityriasis rosea. But there is evidence that suggests pityriasis rosea may be caused by a virus because the rash resembles certain viral illnesses. The rash doesn’t seem to spread from person to person.

Symptoms

The primary symptom of pityriasis rosea is that large, scaly, pink area of skin followed by more itchy, inflamed, or reddened patches. Pityriasis rosea affects the back, neck, chest, abdomen, upper arms, and legs. The rash can differ from person to person.

Diagnosis

A doctor can usually diagnose pityriasis rosea by looking at it. They may do blood tests, scrape your skin, or do a skin biopsy to rule out other skin conditions.

Treatment

If your case is mild, you may not need treatment. Even more serious cases sometimes go away on their own. Oral antihistamines (like diphenhydramine), over-the-counter medications you rub on your skin, and prescription steroids can help soothe the itch.

Sores may heal faster with some exposure to sunlight or ultraviolet light. Don’t get too much sun, though. In most cases, pityriasis rosea goes away within 6-12 weeks.

See a photo of what pityriasis rosea looks like.

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Types, Symptoms, Treatments, & More

Written by WebMD Editorial Contributors

• What Are Rashes?
• Eczema
• Granuloma Annulare
• Lichen Planus
• Pityriasis Rosea

Rashes are abnormal changes in skin color or texture. They usually result from skin inflammation, which can have many causes.

There are many types of rashes, including eczema, granuloma annulare, lichen planus, and pityriasis rosea.

Eczema is a general term that describes several different conditions in which skin is inflamed, red, scaly, and itchy. Eczema is a common skin condition, and atopic dermatitis (also called atopic eczema) is one of the most common forms of eczema.

Eczema can affect adults or children. The condition isn’t contagious. View a slideshow to get an overview on eczema.

Causes

We don’t know for sure what causes atopic eczema, but the condition often affects people with a family history of allergies. If you have eczema, you may also have hay fever and/or asthma, or have family members with those conditions.

Some things can trigger a flare-up of eczema or make eczema worse, but they don’t cause the condition. Eczema triggers include stress, skin irritants (including soaps, skin care products, or some fabrics), allergens, and climate/environment. Learn more about the link between allergies and eczema.

Symptoms

The way eczema looks can vary from person to person. In adults, eczema most often affects the hands, elbows, and “bending” areas like the inside of the elbows and back of your knees. In young children, eczema often shows up inside the elbows, behind the knees, and on the face, back of the neck, and scalp. Signs and symptoms of atopic eczema include:

• Itchiness
• Skin redness
• Dry, scaly, or crusted skin that might become thick and leathery from long-term scratching
• Formation of small, fluid-filled blisters that might ooze when scratched
• Infection of the areas of broken skin

Diagnosis

To diagnose atopic eczema, the doctor will check your skin and ask about your symptoms. They might test an area of scaly or crusty skin to rule out other skin diseases or infections. Find out more on the symptoms and diagnosis of eczema.

Treatment

You can treat eczema with moisturizers that are fragrance-free and contain ingredients such as ceramides, glycerin, and mineral oil. Medications include over-the-counter creams and ointments containing the steroid hydrocortisone (for example, Cortizone-10, Cort-Aid, Dermarest Eczema, Neosporin Eczema). These products may help control the itching, swelling, and redness linked to eczema. Prescription-strength cortisone creams, as well as cortisone pills and shots, are also used for more severe cases.

For people with mild to moderate eczema, topical immunomodulators (TIMs) can help. TIMS — including brand name products Elidel and Protopic — work by changing the body’s immune response to allergens, preventing flare-ups.

Crisaborole (Eucrisa) is an ointment for mild to moderate psoriasis in those 2 and older.

Dupilumab (Dupixent) is an injectable monoclonal antibody used in patients with moderate to severe atopic dermatitis. It clears the itch quickly in most patients.

Other drugs that might be used for people with eczema include antibiotics (to treat infected skin) and antihistamines (to help control itching).

Phototherapy is another treatment that helps some people with eczema. The ultraviolet light waves found in sunlight have been shown to help treat certain skin disorders, including eczema. Phototherapy uses ultraviolet light — either ultraviolet A (UVA) or ultraviolet B (UVB) — from special lamps to treat people with severe eczema.

Risks linked to phototherapy include burning (usually resembling a mild sunburn), dry skin, itchy skin, freckling, and possible premature aging of the skin. Your health care professionals will work with you to lessen any risks. Get more details about treatments for eczema.

Prevention

There’s no way to prevent atopic eczema, but you can do things to improve your symptoms:

• Reduce stress
• Avoid scratchy materials (for example, wool) and chemicals such as harsh soaps, detergents, and solvents
• Moisturize often
• Avoid sudden changes in temperature or humidity
• Avoid situations that cause sweating and overheating

Read more on how to prevent eczema flare-ups.

Granuloma annulare is a chronic skin condition that consists of a circular-shaped rash with reddish bumps (papules). People who have granuloma annulare usually notice one or more rings of small, firm bumps over the backs of their forearms, hands, or feet. The rash may be mildly itchy. It’s not known what causes it and they usually go away on their own, although steroids may be prescribed. The condition most often affects children and young adults and is slightly more common in girls.

Granuloma annulare is a chronic skin condition that consists of a circular-shaped rash with reddish bumps (papules).

Most often, the condition affects children and young adults. Granuloma annulare is slightly more common in girls and usually is seen in people who are otherwise healthy.

Causes

We don’t know what causes granuloma annulare.

Symptoms

People who have granuloma annulare usually notice one or more rings of small, firm bumps over the backs of their forearms, hands, or feet. The rash may be mildly itchy.

Diagnosis

Your doctor can diagnose you. They might use a skin biopsy to confirm you have granuloma annulare.

Treatment

Treatment of granuloma annulare usually isn’t necessary, except for cosmetic reasons. In some cases, steroid creams or ointments can help the bumps disappear. Some doctors may decide to freeze the lesions with liquid nitrogen or to inject steroids directly into the rings of bumps. Ultraviolet light therapy or oral drugs can be used in serious cases.

See a photo of what granuloma annulare looks like.

Lichen planus is a common skin disorder that produces shiny, flat-topped bumps. They often have an angular shape and a reddish-purplish color. Lichen planus can show up anywhere on the skin but often affects the insides of your wrists and ankles, your lower legs, your back, and your neck. Some people have lichen planus inside their mouth, genital region, scalp, and nails. Thick collections of bumps may occur, especially on the shins.

Lichen planus most often affects adults ages 30-70. It isn’t common in very young or elderly people.

Causes

Doctors think lichen planus is an autoimmune condition, meaning your body’s immune system attacks its own tissues. But they don’t know what causes it. Sometimes lichen planus results from a triggering agent such as hepatitis B or hepatitis C. Doctors call that a lichenoid reaction.

If you’re allergic to medications to treat high blood pressure, heart disease, and arthritis, you could get a lichen planus-type rash. Lichen planus isn’t contagious.

Symptoms

Signs and symptoms of the condition include shiny, flat-topped bumps that are purple or a reddish-purplish color. It’s often itchy. When it shows up on your scalp, lichen planus can lead to hair loss. Lichen planus of the nails can cause brittle or split nails.

Diagnosis

A doctor can diagnose lichen planus by the way it looks or with the use of a skin biopsy. For this procedure, they’ll take a small bit of skin from the affected area and send it to a lab for testing.

Treatment

Lichen planus can’t be cured, but you can treat the symptoms with anti-itch products like antihistamines (for example, Benadryl, or diphenhydramine). If lichen planus affects only a small part of the body, you can apply medicated cream to the affected area. In more severe cases, doctors might prescribe steroid shots, prednisone, or other drugs that suppress your immune system. They might also give you retinoids or try light therapy.

View a slideshow to see photos of lichen planus and other skin reactions.

Pityriasis rosea is a common skin rash that usually is mild. The condition often begins with a large, scaly, pink patch of skin on your chest or back. Next you’ll notice one patch of pink skin quickly followed by more. Your skin will be itchy and red or inflamed. The number and sizes of spots can vary.

Causes

We don’t know what causes pityriasis rosea. But there is evidence that suggests pityriasis rosea may be caused by a virus because the rash resembles certain viral illnesses. The rash doesn’t seem to spread from person to person.

Symptoms

The primary symptom of pityriasis rosea is that large, scaly, pink area of skin followed by more itchy, inflamed, or reddened patches. Pityriasis rosea affects the back, neck, chest, abdomen, upper arms, and legs. The rash can differ from person to person.

Diagnosis

A doctor can usually diagnose pityriasis rosea by looking at it. They may do blood tests, scrape your skin, or do a skin biopsy to rule out other skin conditions.

Treatment

If your case is mild, you may not need treatment. Even more serious cases sometimes go away on their own. Oral antihistamines (like diphenhydramine), over-the-counter medications you rub on your skin, and prescription steroids can help soothe the itch.

Sores may heal faster with some exposure to sunlight or ultraviolet light. Don’t get too much sun, though. In most cases, pityriasis rosea goes away within 6-12 weeks.

See a photo of what pityriasis rosea looks like.

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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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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.

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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 sensitize the body or 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 treating foci of weeping and preventing the addition of a 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.

Solutions and ointments for the treatment of contact dermatitis must not be purchased and used independently. 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 products that have expired.

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: 07/14/2023

Updated: 05/12/2021

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 in 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

902 99

9 0002

90 300 51 000 ₽

9 0300 7 200 ₽

Taking a sample of biological material from lesions of the oral organs	1 400 ₽ 9030 1
Diathermocoagulation (electro-) of vascular neoplasms (telangiectasias, hemangiomas), 1-10 elements	7 300 ₽
Cryosurgery for molluscs, warts, etc. (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 mollusks, warts, etc. (4 degree of complexity)	51 000 ₽
Cryosurgery of molluscs, warts, etc. (5 degree of complexity)	72 000 ₽
Field photothermolysis of the upper and lower eyelids	21 500 ₽
Field photothermolysis of the face	51,000 RUB
Fractional photothermolysis of the neck area	51,000 RUB
Fractional photothermolysis of the decollete zone
Fractional photothermolysis of the face and neck area	72 000 ₽
Fractional photothermolysis of the face, neck and décolleté	RUB 86,000
Taking urethral, ​​vaginal or anal swabs	RUB 1,400
Taking urethral, ​​vaginal or anal scrapings	1 400 ₽
Taking the nail plate for analysis	1 400 ₽
Hair sampling for pathogenic flora analysis for analysis of pathogenic flora	1 400 ₽
Skin biopsy (punch biopsy)	11 500 ₽
Curettage of skin neoplasms on the face, neck and head	23 700 ₽
Curettage of tumors on the trunk	19 400 ₽
Curettage of neoplasms on the extremities	17 200 ₽
Biorevitalization of soft tissues of the face – bioreparant, 1 ml.	25 800 ₽
Introduction of biorevitalizant-bioreparant, 2 ml.	42 000 ₽
Lipolytic mesotherapy	7 200 ₽
Intralesional administration of a therapeutic agent	11 600 ₽
Administration of the drug into keloid and hypertrophic scars
Laser treatment of scars from 1 to 3 cm in size (linear)	10 100 ₽
Laser treatment of scars 5 x 5 cm	21 500 ₽
Laser treatment of scars 10 x 1 0 cm	36 000 ₽
Botulinum toxin injection (without drug cost), 30 minutes	0 52 000 ₽
Treatment of psoriasis with a genetically engineered drug Efleira (3 procedures)	148 000 ₽
Dermatological peeling (chemical peeling of the face)	11 000 ₽
Hardware processing of nail plates s	4 000 ₽
Hardware treatment of feet without cracks	4 000 ₽
Hardware treatment of feet with cracks	4 000
Removal of an ingrown nail using the podological method	4,000 ₽
Callus removal	40301
Installation of corrective systems (titanium thread) medicines	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 ₽
Radio wave removal of skin neoplasms, 1 element (3rd degree of complexity)	8
Treatment with the drug Botox, 100 units.	21 500 ₽

Other conditions we treat

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Comprehensive programs

Acne medications

If anyone thinks that acne is just a temporary condition that does not require treatment, this is a big mistake.

The treatment of acne, like the treatment of any other disease, requires an integrated approach. As a rule, skin problems, and especially acne, are a consequence of disorders of the gastrointestinal tract. And in particular, the presence of toxins and pathogenic bacteria in the intestines.

The drug 9 has a high sorption activity and detoxification effect0725 Lactofiltrum . This is the first “smart” drug. It not only binds and removes harmful toxins from the body, but also, thanks to the lactulose that is part of it, simultaneously stimulates the growth of beneficial bifidus and lactobacilli in the intestines. At the same time, it is necessary to take

Evisent – a complex of brewer’s yeast, calcium and sulfur, so necessary for our skin, hair and nails. And don’t worry, modern technology has stepped far ahead, and now yeast does not affect body weight in any way. The course is at least 1-2 months.
Bifiform – used to restore healthy intestinal microflora. This is a drug from the group of probiotics containing live bacterial cells.
NEOBIOTIC Lactobalance 4th generation prebiotic, Easy to take once a day. Does not contain gluten and lactose. Perfectly restores the intestinal microbiota.

Let’s not forget about cosmetic care. There is a huge variety of skin care products on the market today. But do not rush to believe advertising. Not all means will help you achieve the desired effect. Choose safe and tested brands. To do this, try to buy pharmacy cosmetics.

For hygiene, it is necessary to use gels/foams that will clean the skin well, but will not overdry it.

La Roche Posay Effaclar H cream-gel – for problematic, overdried as a result of drug treatment.

Comprehensive care for problematic skin is provided by the Normaderm range from Vichy . It not only has a visual matting and masking effect, but also, penetrating into the deeper layers of the skin, helps prevent inflammation, redness, comedones, enlarged pores and blackheads. To achieve the maximum effect, you need to choose a complete complex for the care of your skin.

There are several other brands of cosmetics for acne and pimples that are sold in pharmacies.

Pay attention to the brand of medical cosmetics Core a . This is a phytocosmetics that does not contain dyes and fragrances, which means it is suitable for almost any problem skin. In a wide range of cosmetics Bark , you can choose a full range of products for problem skin care: a cleansing cream mask, a soothing mask, a cleansing tonic for problem skin, a cream with a matting effect for oily skin.

Treatment

Zineryt (erythromycin + zinc) – has an antimicrobial effect. Most effective for inflammation.
Skinoren gel (azelaic acid) – opens pores, promotes exfoliation, regulates sebum production, reduces post-acne marks.
Baziron AC is a topical drug for the treatment of acne (acne, pimples). Baziron® AS is not an antibiotic and does not cause antibacterial resistance, i.e. the skin “does not get used”, so the drug can be used for long courses.
Klenzit is a retinoid, apply at night only and avoid direct sunlight to prevent skin irritation.
Efaclar duo plus La Roche-Posay – cream, can be applied locally, can be applied all over the face. Has an exfoliating effect.
LA ROCHE-POSAY Efaclar a.i corrective agent for oily and problem skin 15ml. Reduces the expressed imperfections, suppresses bacterial activity.

Taking vitamins

SOLGAR K skin/hair/nails
A unique sulfur-based complex to improve the condition of skin, hair and nails. The basis of the complex is MSM (methylsulfonidemethane) – a source of organic sulfur. Sulfur is a building component of keratin, collagen, is involved in the synthesis of glutathione, the strongest antioxidant.
LADY-C FORMULA
Increases the effectiveness of skin care products.
Nutritious vitamin-mineral complex with herbal extracts.
DOPPELHERZ Anti-acne beauty for clear and healthy skin
The components of the complex help to improve the condition of the skin, reduce inflammation, cleanse and cleanse it. Return the skin to a healthy look and beauty.

A suitable drug for external use will help you choose a dermatologist. And remember that only an integrated approach will restore your skin to health and radiance.

How to treat acne? (video)