Contact
dermatitis is a
localized rash or irritation of the skin caused by contact with a
foreign substance. Only the superficial regions of the skin are
affected in contact dermatitis. Inflammation of the affected tissue is
present in the epidermis (the outermost layer of skin) and the outer
dermis (the layer beneath the epidermis).
Unlike contact
urticaria, in which a rash appears within minutes of exposure and fades
away within minutes to hours, contact dermatitis takes days to fade
away. Even then, contact dermatitis fades only if the skin no longer
comes in contact with the allergen or irritant.
Contact dermatitis results in large, burning, and
itchy rashes, and these can take anywhere from several days to weeks to
heal.
Chronic contact dermatitis can develop when the
removal of the offending agent no longer provides expected relief.
Symptoms
Allergic
dermatitis is usually confined to the area where the trigger actually
touched the skin, whereas irritant dermatitis may be more widespread on
the skin. Symptoms of both forms include the following:
- Red
rash.
This is the usual reaction. The rash appears immediately in irritant
contact dermatitis; in allergic contact dermatitis, the rash sometimes
does not appear until 24-72 hours after exposure to the allergen.
- Blisters
or wheals. Blisters, wheals (welts), and urticaria (hives)
often form in a pattern where skin was directly exposed to the allergen
or irritant.
- Itchy,
burning skin. Irritant contact dermatitis tends to be more
painful than itchy, while allergic contact dermatitis often itches.
While
either form of contact dermatitis can affect any part of the body,
irritant contact dermatitis often affects the hands, which have been
exposed by resting in or dipping into a container (sink, pail, tub,
Sun, Swimming Pools With High chlorine ), containing the irritant.
Case Report: