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Contact dermatitis is a type of acute or chronic inflammation of the skin caused by exposure to chemical or physical agents. [1] Symptoms of contact dermatitis can include itchy or dry skin, a red rash, bumps, blisters, or swelling. These rashes are not contagious or life-threatening, but can be very uncomfortable.
Allergic contact dermatitis (ACD) is a form of contact dermatitis that is the manifestation of an allergic response caused by contact with a substance; the other type being irritant contact dermatitis (ICD). Although less common than ICD, ACD is accepted to be the most prevalent form of immunotoxicity found in humans. [1]
Low humidity from air conditioning was found to be the most common cause of physical irritant contact dermatitis. [3] To the lay person a definition of low humidity being a physical irritant can be confusing because low humidity is a deficit (or absence) of an elemental substance, whereas all other irritants implicated in contact dermatitis are in concentrations of relative abundance.
Urushiol-induced contact dermatitis (also called Toxicodendron dermatitis or Rhus dermatitis) is a type of allergic contact dermatitis caused by the oil urushiol found in various plants, most notably sumac family species of the genus Toxicodendron: poison ivy, poison oak, poison sumac, and the Chinese lacquer tree. [1]
Protein contact dermatitis is a cutaneous condition, and was a term originally used to describe an eczematous reaction to protein-containing material in food handlers. [1] Usually affecting the hands or forearms, it manifests clinically as a subacute or chronic dermatitis that recurs frequently over time. [ 2 ]
Contact dermatitis is typically treated by avoiding the allergen or irritant. [9] [10] Antihistamines may help with sleep and decrease nighttime scratching. [2] Dermatitis was estimated to affect 245 million people globally in 2015, [6] or 3.34% of the world population. Atopic dermatitis is the most common type and generally starts in childhood.
Allergen of the Year is an annual "award" voted upon by the American Contact Dermatitis Society, aiming to raise awareness about common allergens. The purpose of the award is "to draw attention to the agents causing the most significant clinical effects, those that are underrecognized and those that have become obsolete or for which exposure patterns have changed".
Patch testing may be considered if there is suspicion of allergic contact dermatitis. [2] A skin biopsy is rarely necessary, [2] but if done mostly shows an interstitial granulomatous dermatitis, some lesions being spongiotic. [4] Id reactions cannot be distinguished from other skin diseases by histopathology.
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