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Dermatitis Health Channel

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Poison oak rash on the arm

Dermatitis, nickel on the sole

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Contact dermatitis

Definition

Contact dermatitis is an inflammation of the skin caused by direct contact with an irritating substance.

Alternative Names

Dermatitis - contact; Allergic dermatitis; Dermatitis - allergic; Poison ivy; Poison oak; Poison sumac

Causes, incidence, and risk factors

Contact dermatitis is an inflammation of the skin caused by direct contact with an irritating or allergy-causing substance (irritant or allergen). Reactions may vary in the same person over time. A history of any type of allergies increases the risk for this condition.

Irritant dermatitis, the most common type of contact dermatitis, involves inflammation resulting from contact with acids, alkaline materials such as soaps and detergents, solvents, or other chemicals. The reaction usually resembles a burn.

Allergic contact dermatitis, the second most common type of contact dermatitis, is caused by exposure to a substance or material to which you have become extra sensitive or allergic. The allergic reaction is often delayed, with the rash appearning 24-48 hours after exposure. The skin inflammation varies from mild irritation and redness to open sores, depending on the type of irritant, the body part affected, and your sensitivity.

Overtreatment dermatitis is a form of contact dermatitis that occurs when treatment for another skin disorder causes irritation.

Common allergens associated with contact dermatitis include:

  • Poison ivy, poison oak, poison sumac
  • Other plants
  • Nickel or other metals
  • Medications
  • Rubber
  • Cosmetics
  • Fabrics and clothing
  • Detergents
  • Solvents
  • Adhesives
  • Fragrances, perfumes
  • Other chemicals and substances

Contact dermatitis may involve a reaction to a substance that you are exposed to, or use repeatedly. Although there may be no initial reaction, regular use (for example, nail polish remover, preservatives in contact lens solutions, or repeated contact with metals in earring posts and the metal backs of watches) can eventually cause cause sensitivity and reaction to the product.

Some products cause a reaction only when they contact the skin and are exposed to sunlight (photosensitivity). These include shaving lotions, sunscreens, sulfa ointments, some perfumes, coal tar products, and oil from the skin of a lime. A few airborne allergens, such as ragweed or insecticide spray, can cause contact dermatitis.

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Eczema is a chronic skin disorder that involves scaly and itchy rashes. Eczema is also called atopic dermatitis. Reviewer: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network.Date: 07/18/2007
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Irritant-induced diaper dermatitis is a diaper rash caused by chemical irritants instead of bacterial or yeast (candida) infection. Reviewer: Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network.Date: 08/15/2007
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Diaper dermatitis - Candida-associated (2 Images) (Doctor-Reviewed information)
Candida-associated diaper dermatitis is an infection of the skin beneath an infant's diaper. It is caused by yeasts (Candida organisms. Reviewer: Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network.Date: 08/15/2007
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Seborrheic dermatitis (1 Image) (Doctor-Reviewed information)
Seborrheic dermatitis is a common, inflammatory skin condition that causes?flaky,?white to yellowish scales to form on oily areas such as the scalp or inside the ear. It can occur with or without reddened skin. Cradle cap is the term used when seborrheic dermatitis affects the scalp of infants. Reviewer: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network.Date: 07/18/2007
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Exfoliative dermatitis (1 Image) (Doctor-Reviewed information)
Exfoliative dermatitis is widespread scaling of the skin, often with itching (pruritus), skin redness (erythroderma), and hair loss. It may occur in severe cases of many common skin conditions, including eczema, psoriasis, and allergic reactions. A person with erythroderma or exfoliative dermatitis often needs hospital care or admission to an intensive-care burn unit. Reviewer: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 02/05/2008
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Perioral dermatitis (1 Image) (Doctor-Reviewed information)
Perioral dermatitis is a skin disorder characterized by tiny red bumps (papules) around the mouth. Reviewer: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 02/05/2008
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Dermatitis herpetiformis (6 Images) (Doctor-Reviewed information)
Dermatitis herpetiformis is an extremely itchy rash made of bumps and blisters. The rash is chronic, which means it continues over a long period of time. Reviewer: Michael S. Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.Date: 04/16/2007
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Use Healthline to search the web for more Dermatitis information.

Health Videos

What is Eczema?
Everyone has experienced dry, itchy skin, especially in the winter. For people with eczema, that itch can be unrelenting. Listen to experts discuss eczema ...
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Poison Oak Allergic Contact Dermatitis. in Medicine for the Outdoors - 280 days ago
"Rhus dermatitis," commonly known as "poison ivy, poison oak, or poison sumac," and currently referred to as "toxicodendron dermatitis," is one of the most... Email  |  Save

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