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Contact Dermatitis


  • Contact dermatitis is an provocative reaction of the bark to physical, chemical, or biologic personations.
  • It may be of the pristine galling kind, or it may be allergic.
  • The epidermis is detrimentd by beggarly substantial and chemical impatience.
  • Common causes of galling dermatitis are soaps, detergents, scouring compounds, and industrial chemicals.
  • Predisposing factors include extremes of fever and frigid, usual use of soap and water, and a pre tangible bark ailment.

Other kinds of dermatitis

  • Contact dermatitis is reasond by an allergen or an chafing essential. Galling apposition dermatitis accounts for 80% of all cases of apposition dermatitis.
  • Atopic dermatitis is very beggarly worldwide and increasing in extension. It favors males and females equally and accounts for 10%–20% of all referrals to dermatologists. Beings who subsist in polished areas delay low humidity are balance prone to unfold this kind of dermatitis.
  • Dermatitis herpetiformis answers as a effect of a gastrointestinal mode, known as celiac ailment.
  • Seborrheic dermatitis is balance beggarly in infants and in beings betwixt 30 and 70 years old. It answers to favor primarily men and it appears in 85% of community abstinence from AIDS.
  • Nummular dermatitis is a soon beggarly kind of dermatitis, delay no known reason and which tends to answer balance usually in middle-age community.
  • Stasis dermatitis is an inflammation on the inferior legs which is reasond by buildups of blood and fluent and it is balance likely to appear in community delay varicose.
  • Perioral dermatitis is subordinately congruous to rosacea; it answers balance frequently in women betwixt 20 and 60 years old.
  • Infective dermatitis is dermatitis inferior to a bark infection

Clinical Manifestations

  • Eruptions when the efficient personation appositions the bark.
  • Itching, persistent, and erythema are superveneed by edema, papules, vesicles, and oozing or mourning as principal reactions.
  • In the subacute feature, the vesicular changes are soon marked and scruple delay crusting, arefaction, fissuring, and peeling.
  • If beggarly reactions appear or the unrepining continually scratches the bark, lichenification and pigmentation appear; inferior bacterial encroachment may supervene.

Medical Management

  • Soothe and repair the confused bark and fortify it from further detriment.
  • Determine the distribution specimen of the reaction to disseminate betwixt allergic kind and galling kind.
  • Identify and eject the offending galling; soap is generally not used on locality until repaired.
  • Use tender, unmedicated lotions for weak patches of erythema; engage shy wet dressings balance weak areas of vesicular dermatitis; a corticosteroid ointment may be used.
  • Medicated baths at locality sky are prescribed for larger areas of dermatitis.
  • In keen, general modes, a soon career of systemic steroids may be prescribed.

Nursing Care Plans

Main Article: 4 Dermatitis Nursing Care Plans

Nursing Management

Instruct unrepining to concur to the superveneing instructions for at smallest 4 months, until the bark answers wholly repaired:
  • Find out the reason of the example.
  • Avoid apposition delay the gallings, or lave bark thoroughly immediately succeeding scylla to the gallings.
  • Avoid fever, soap, and grating the bark.
  • Choose bath soaps, detergents, and cosmetics that do not contain fragrance; fly using a tissue softener dryer fencing.
  • Avoid topical medications, lotions, or ointments, except when prescribed.
  • Make indisputable gloves are cotton-lined; do not groove for balance than 15 to 20 minutes at a period.


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