Allergic Contact Dermatitis Questions & Answers

Updated: Feb 15, 2019
  • Author: Thomas N Helm, MD; Chief Editor: William D James, MD  more...
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Questions & Answers

Overview

How is the course of allergic contact dermatitis characterized?

What are the signs and symptoms of allergic contact dermatitis?

What are the diagnostic studies for allergic contact dermatitis?

What is the treatment for allergic contact dermatitis?

What is allergic contact dermatitis?

What testing is available for allergic contact dermatitis?

What determines the importance of specific substances as causes of allergic contact dermatitis?

What is the role of patient history in the evaluation of allergic contact dermatitis?

What is the main treatment for allergic contact dermatitis?

What is the pathogenesis of allergic contact dermatitis?

What are prehaptens associated with allergic contact dermatitis?

What is the role of haptens in the pathophysiology of allergic contact dermatitis?

What is the role of keratinocytes in the development of allergic contact dermatitis?

How does the initial sensitization occur in the pathophysiology of allergic contact dermatitis?

Which types of cells persist in the dermis after clinical resolution of allergic contact dermatitis?

How is allergic contact dermatitis caused by poison ivy characterized?

How is allergic contact dermatitis caused by nickel characterized?

What causes allergic contact dermatitis?

How is allergic contact dermatitis caused by rubber gloves characterized?

How is allergic contact dermatitis caused by hair dye and temporary henna tattoos characterized?

How is allergic contact dermatitis caused by textiles characterized?

Which preservative chemicals are most likely to cause allergic contact dermatitis?

What is the role of fragrances in the etiology of allergic contact dermatitis?

What is the role of corticosteroids in the etiology of allergic contact dermatitis?

What is the role of neomycin in the etiology of allergic contact dermatitis?

Does benzocaine cause allergic contact dermatitis?

Do sunscreens cause allergic contact dermatitis?

What is the role of ultraviolet (UV) light in the development of allergic contact dermatitis?

What kinds of plastics products are associated with allergic contact dermatitis?

How common is allergic contact dermatitis in the US?

What is the international prevalence of allergic contact dermatitis?

What are the race, sex, and age-related demographics of allergic contact dermatitis?

What is the prognosis of allergic contact dermatitis?

What is the mortality associated with allergic contact dermatitis?

What can patients with allergic contact dermatitis do to have the best prognosis?

What does the patient education for allergic contact dermatitis consist of?

Presentation

What is the role of patient history in the evaluation of allergic contact dermatitis?

Which skin conditions are associated with allergic contact dermatitis?

Why is a history of atopic dermatitis (eczema) relevant in the evaluation of allergic contact dermatitis?

How is the onset of symptoms characterized in allergic contact dermatitis?

How is eyelid dermatitis associated with allergic contact dermatitis?

How is contact urticaria distinguished from allergic contact dermatitis?

What is the role of latex in allergic contact dermatitis?

What is the role of occupational exposure to allergens in allergic contact dermatitis?

Which kinds of hobbies are associated with allergic contact dermatitis?

Which types of medications are associated with allergic contact dermatitis?

What are the clinical findings of allergic contact dermatitis caused by hair dyes?

What are the clinical findings of severe cutaneous reactions associated with allergic contact dermatitis?

How is acute allergic contact dermatitis characterized?

What are the clinical findings of allergic contact dermatitis on the hands?

What are the clinical findings of allergic contact dermatitis associated with topical medications?

What are the clinical findings of airborne allergic contact dermatitis?

What are the clinical findings of allergic contact dermatitis associated with stasis dermatitis and stasis ulcers?

What are the complications associated with allergic contact dermatitis?

DDX

What are diagnostic considerations in allergic contact dermatitis?

What are the differential diagnoses for Allergic Contact Dermatitis?

Workup

Which lab studies are indicated in the workup of allergic contact dermatitis?

What is the role of patch testing in the workup of allergic contact dermatitis?

How is patch testing performed in the workup of allergic contact dermatitis?

When is additional patch testing indicated in the workup of allergic contact dermatitis?

What approach to patch testing provides the most accurate results in the diagnosis of allergic contact dermatitis?

Which factors can affect the accuracy of patch testing results in the workup of allergic contact dermatitis?

What adverse reaction is associated with patch testing for allergic contact dermatitis?

What secondary patch test series or sets are available for the workup for allergic contact dermatitis?

What are common causes of allergic contact dermatitis not included in the TRUE test and how are they tested?

Is patch testing for allergic contact dermatitis safe in pregnancy?

What is the role of the repeat open application test (ROAT) in the workup of allergic contact dermatitis?

How are chemical tests used to identify allergens in allergic contact dermatitis?

What is the role of skin biopsy in the workup of allergic contact dermatitis?

How are the histologic findings characterized in allergic contact dermatitis?

Treatment

What is the treatment for allergic contact dermatitis?

What treatment helps relieve symptoms of allergic contact dermatitis?

How are corticosteroids used in the treatment of allergic contact dermatitis?

What are the side effects of long-term use of corticosteroids in the treatment of allergic contact dermatitis?

What is the role of topical immunomodulators (TIMs) in the treatment of allergic contact dermatitis?

What is the role of phototherapy/PUVA for the treatment of allergic contact dermatitis?

What is the role of immunosuppressive agents in the treatment of allergic contact dermatitis?

What is the role of disulfiram in the treatment of allergic contact dermatitis?

How are dietary recommendations used in the treatment of allergic contact dermatitis?

When is hospital admission indicated in the treatment of allergic contact dermatitis?

What activity restrictions are indicated in the treatment of allergic contact dermatitis?

How can the recurrence of allergic contact dermatitis be prevented?

How can the recurrence of allergic contact dermatitis associated with chemicals be prevented?

How can allergic contact dermatitis be prevented in the occupational setting?

What can patients do to prevent the recurrence of allergic contact dermatitis?

When are consultations indicated in the treatment of allergic contact dermatitis?

What does long-term monitoring of allergic contact dermatitis consist of?

Medications

How is drug treatment used in the treatment of allergic contact dermatitis?

Which medications are used in the treatment of severe acute allergic contact dermatitis?

Which medications are used in the treatment of refractory cases of allergic contact dermatitis?

Which medication is used to treat pruritus caused by allergic contact dermatitis?

Which medications in the drug class Topical Immunomodulators are used in the treatment of Allergic Contact Dermatitis?

Which medications in the drug class Corticosteroids are used in the treatment of Allergic Contact Dermatitis?

Which medications in the drug class Antihistamines are used in the treatment of Allergic Contact Dermatitis?

Which medications in the drug class Tricyclic Antidepressants are used in the treatment of Allergic Contact Dermatitis?

Which medications in the drug class Chelation Agents are used in the treatment of Allergic Contact Dermatitis?