Understanding Contact Dermatitis: Causes, Symptoms, and Treatment

A Comprehensive Guide for Patients

Dermatology

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Last updated: Mar 24, 2025

What Is Contact Dermatitis?

Contact dermatitis is a skin inflammation that occurs when your skin comes into contact with an irritating substance or allergen. The condition manifests as a red, itchy rash.

Types of Contact Dermatitis

1. Irritant Contact Dermatitis

  • Most common type (80% of cases)
  • Caused by direct skin damage from irritants
  • Common triggers:
    • Soaps and detergents
    • Cleaning products
    • Acids or alkaline materials
    • Prolonged water exposure

2. Allergic Contact Dermatitis

  • Immune system reaction
  • Develops 48-72 hours after exposure
  • Common allergens:
    • Nickel and other metals
    • Latex
    • Cosmetics
    • Plants (e.g., poison ivy)

Symptoms

  • Redness and swelling
  • Intense itching
  • Burning or stinging sensation
  • Dry, cracked skin
  • Blisters in severe cases

Treatment Options

Immediate Steps

  1. Remove or avoid the irritant
  2. Wash affected area with mild soap and water
  3. Apply cool compresses

Medical Treatments

  • Topical corticosteroids
  • Oral antihistamines
  • Moisturizers
  • Prescription medications for severe cases

Prevention

  • Identify and avoid triggers
  • Wear protective gloves
  • Use skin barrier creams
  • Choose hypoallergenic products

When to See a Doctor

  • Severe or widespread rash
  • Signs of infection
  • Rash that interferes with daily activities
  • Symptoms lasting more than 2 weeks

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