Professional Documents
Culture Documents
Contact dermatitis is an inflammatory reaction of the skin to physical, chemical, or biologic agents.
It may be of the primary irritant type, or it may be allergic.
The epidermis is damaged by repeated physical and chemical irritation.
Common causes of irritant dermatitis are soaps, detergents, scouring compounds, and industrial chemicals.
Predisposing factors include extremes of heat and cold, frequent use of soap and water, and a pre existing skin disease.
Contact dermatitis is caused by an allergen or an irritating substance. Irritant contact dermatitis accounts for 80% of
all cases of contact dermatitis.
Atopic dermatitis is very common worldwide and increasing in prevalence. It affects males and females equally and
accounts for 10%–20% of all referrals to dermatologists. Individuals who live in urban areas with low humidity are
more prone to develop this type of dermatitis.
Dermatitis herpetiformis appears as a result of a gastrointestinal condition, known as celiac disease.
Seborrheic dermatitis is more common in infants and in individuals between 30 and 70 years old. It appears to affect
primarily men and it occurs in 85% of people suffering from AIDS.
Nummular dermatitis is a less common type of dermatitis, with no known cause and which tends to appear more
frequently in middle-age people.
Stasis dermatitis is an inflammation on the lower legs which is caused by buildups of blood and fluid and it is more
likely to occur in people with varicose.
Perioral dermatitis is somewhat similar to rosacea; it appears more often in women between 20 and 60 years old.
Infective dermatitis is dermatitis secondary to a skin infection
Clinical Manifestations
Medical Management
Soothe and heal the involved skin and protect it from further damage.
Determine the distribution pattern of the reaction to differentiate between allergic type and irritant type.
Identify and remove the offending irritant; soap is generally not used on site until healed.
Use bland, unmedicated lotions for small patches of erythema; apply cool wet dressings over small areas of vesicular
dermatitis; a corticosteroid ointment may be used.
Medicated baths at room temperature are prescribed for larger areas of dermatitis.
In severe, widespread conditions, a short course of systemic steroids may be prescribed.
Nursing Management
Instruct patient to adhere to the following instructions for at least 4 months, until the skin appears completely healed: