II. Definition

  1. Inflammation of skin secondary to chemical contact
  2. Results in intracellular edema of Epidermis

III. Types

  1. Irritant Contact Dermatitis
    1. Accounts for 80% of Contact Dermatitis
  2. Allergic Contact Dermatitis

IV. Epidemiology

  1. Most common dermatologic diagnosis
  2. Prevalence: 1-10%

V. Symptoms

VI. Prevention (especially in occupational settings)

  1. Avoid organic solvent contact (Mineral Oil, thinner)
  2. Hypoallergenic skin cleansers (and consider Alcohol-based skin cleansers)
  3. Frequent use of Skin Lubricants (Emollients)
  4. Frequent clothing changes
    1. Immediately remove clothing soaked with chemicals
  5. Shower at least once daily
  6. Use gloves for wet tasks (e.g. washing)
  7. Wash work clothes seperate from other clothes at home
  8. Do not eat, drink or smoke in work area
  9. Consider alternative job duties
  10. Use cotton glove liners
  11. Topicals to prevent Irritant Contact Dermatitis
    1. High lipid content moisturizing cream
      1. Keri Lotion
      2. Petrolatum
      3. Coconut oil
    2. Barrier Creams
      1. Dermashield
      2. Dermofilm
    3. References
      1. Saary (2005) J Am Acad Dermatol 53:845-55 [PubMed]

VII. Resources

  1. Haz-Map (Occupational Exposure Database)
    1. http://www.haz-map.com

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Ontology: Contact Dermatitis (C0011616)

Definition (SNOMEDCT_US) A polymorphic pattern of inflammatory reaction of the skin in response to contact with external irritants or allergens.
Definition (SCTSPA) Patrón polimórfico de reacción inflamatoria de la piel en respuesta al contacto con irritantes o alérgenos externos.
Definition (NCI) An inflammatory skin condition caused by direct contact between the skin and either an irritating substance or an allergen.(NICHD)
Definition (MSH) A type of acute or chronic skin reaction in which sensitivity is manifested by reactivity to materials or substances coming in contact with the skin. It may involve allergic or non-allergic mechanisms.
Definition (CSP) type of acute or chronic skin reaction in which sensitivity is manifested by reactivity to materials or substances coming in contact with the skin; may involve allergic or non-allergic mechanisms.
Concepts Disease or Syndrome (T047)
MSH D003877
ICD10 L25 , L25.9
SnomedCT 200883000, 267842005, 200889001, 200780008, 156338009, 156348006, 267846008, 40275004
English Contact Dermatitides, Contact Eczema, Contact Sensitivities, Contact Sensitivity, Dermatitides, Contact, Dermatitis Venenata, Dermatitis, Contact, Eczema, Contact, Sensitivities, Contact, Sensitivity, Contact, DERMATITIS CONTACT, DERMATITIS VENENATA, Dermatitis contact, Contact dermatitis NOS, Unspecified contact dermatitis, unspecified cause, dermatitis venenata, contact dermatitis (diagnosis), dermatitis venenata (diagnosis), contact dermatitis, Contact dematitis, Unspecified contact dermatitis, Dermatitis, Contact [Disease/Finding], Dermatitis;contact, contact eczema, contact sensitivity, Contact dermatitis/eczema, Contact dermatitis NOS (disorder), Eczema - contact, Dermatitis - contact, Contact dermatitis syndrome, Contact dermatitis, Dermatitis venenata, CD - Contact dermatitis, Contact eczema, Contact dermatitis (disorder), contact; dermatitis, contact; eczema, dermatitis; contact, eczema; contact, Contact dermatitis, NOS, Contact Dermatitis, Dermatitis, contact NOS, Dermatitis, venenata NOS
Spanish DERMATITIS VENENATA, Dermatitis venenosa, Eczema de contacto, Síndrome de dermatitis de contacto, DERMATITIS DE CONTACTO, dermatitis de contacto, SAI (trastorno), dermatitis de contacto (trastorno), eccema por contacto, dermatitis de contacto, dermatitis de contacto, SAI, dermatitis por contacto, dermatitis por contacto (trastorno), Contact dermatitis NOS, dermatitis venenata, Dermatitis de contacto, Dermatitis por Contacto, Dermatitis Venenata, Eccema por Contacto, Sensibilidad por Contacto
Dutch contactdermatitissyndroom, dermatitis venenata, contacteczeem, contact; dermatitis, contact; eczeem, dermatitis; contact, eczeem; contact, Niet gespecificeerd contacteczeem, oorzaak niet gespecificeerd, contactdermatitis, Niet gespecificeerd contacteczeem, Contactdermatitis, Contacteczeem, Dermatitis venenata, Eczeem, contact-, Sensitiviteit, contact-
French Dermite vénéneuse, Syndrome de la dermatite de contact, DERMITE ARTIFICIELLE, DERMITE DE CONTACT, Dermite de contact, Dermatite de contact, Eczéma de contact
German Kontaktdermatitis-Syndrom, DERMATITIS VENENATA, KONTAKTDERMATITIS, Nicht naeher bezeichnete Kontaktdermatitis, nicht naeher bezeichnete Ursache, Nicht naeher bezeichnete Kontaktdermatitis, Dermatitis venenata, Dermatitis, Kontakt-, Ekzem, Kontakt-, Empfindlichkeit, Kontakt-, Kontaktdermatitis, Kontaktekzem
Italian Dermatite severa da contatto, Sindrome della dermatite da contatto, Eczema da contatto, Dermatite venenata, Sensibilità da contatto, Dermatite da contatto
Portuguese Eczema de contacto, Síndrome de dermatite de contacto, Dermatite alérgica de contacto, DERMATITE DE CONTACTO, DERMATITIS VENENATA, Dermatite de contacto, Dermatite de Contato, Dermatite Venenata, Eczema de Contato, Sensibilidade de Contato
Japanese 接触性湿疹, 接触皮膚炎症候群, セッショクヒフエンショウコウグン, セッショクセイシッシン, ドクブツセイヒフエン, セッショクセイヒフエン, 湿疹-接触, 皮膚炎-毒物性, 接触過敏症, 接触湿疹, 接触皮膚炎, 毒物性皮膚炎, かぶれ, 接触性皮膚炎, 感受性-接触, 接触感受性, 過敏症-接触, 皮膚炎-接触性
Swedish Kontaktdermatit
Czech dermatitida kontaktní, ekzém kontaktní, Syndrom kontaktní dermatitidy, Kontaktní ekzém, Kontaktní dermatitida, Dermatitida způsobená jedy
Finnish Kosketusihottuma
Russian GIPERCHUVSTVITEL'NOST' KONTAKTNAIA, EKZEMA KONTAKTNAIA, KONTAKTNYI DERMATIT, DERMATIT KONTAKTNYI, ГИПЕРЧУВСТВИТЕЛЬНОСТЬ КОНТАКТНАЯ, ДЕРМАТИТ КОНТАКТНЫЙ, КОНТАКТНЫЙ ДЕРМАТИТ, ЭКЗЕМА КОНТАКТНАЯ
Korean 상세불명 원인의 상세불명의 접촉피부염, 상세불명의 접촉피부염
Croatian DERMATITIS, KONTAKTNI
Polish Zapalenie skóry kontaktowe
Hungarian Kontakt dermatitisz, Dermatitis venenata, Kontakt dermatitis syndroma, Kontakt dermatitis, contact dermatitis, Kontakt eczema
Norwegian Kontaktdermatitt, Kontakteksem