Introduction
Contact dermatitis is an inflammatory skin reaction that is either directly irritant or a delayed immune-allergic reaction (type IV hypersensitivity).
Symptoms
- Localised redness
- Itching
- Small blisters or larger blisters
- Burning sensation
- Peeling
- Chronic thickening of the skin
Causes
- Household products
- Cosmetics
- Metals (nickel, chromium)
- Gloves, solvents
- Workplace products
- Plants or chemical substances
Diagnosis
- Detailed history
- Clinical examination
- Allergy patch tests
- Identification of the product responsible
Treatments
- Strict avoidance of the allergen
- Topical corticosteroids
- Repairing emollients
- Antihistamines if itching is severe
- Dermatological patch tests
- Medical LED therapy to reduce inflammation
- Skin repair protocols
Management
Accurate diagnosis of the cause
Targeted treatment
Prevention of recurrences
Workplace adjustments if needed