Management of allergic contact dermatitis
- Bruce A Brod, MD
Bruce A Brod, MD
- Clinical Associate Professor of Dermatology
- University of Pennsylvania School of Medicine
Allergic contact dermatitis (ACD) is commonly encountered by the practicing clinician. The most common clinical expression is an eczematous dermatitis that can be mild to severe, acute and short lived, or chronic. The management of ACD is based upon the identification of the offending allergen, avoidance of exposure, use of safe alternatives, and treatment of symptoms.
This topic will discuss the management of ACD. The basic mechanisms, clinical manifestations, and diagnosis of ACD are discussed separately. (See "Basic mechanisms and pathophysiology of allergic contact dermatitis" and "Clinical features and diagnosis of allergic contact dermatitis" and "Patch testing".)
The optimal management of ACD requires a multipronged approach :
●Identification and avoidance of the offending allergen
●Alternatives to offending products
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- Common contact allergens
- - Plants
- - Nickel
- - Cosmetics and personal care products
- Alternative products
- Patient education
- Occupational avoidance measures
- Skin protection
- ACTIVE TREATMENT
- Therapeutic options
- ACD involving the face or flexural areas
- ACD involving the hands, feet, or nonflexural areas
- Chronic ACD
- SUMMARY AND RECOMMENDATIONS