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Causes, incidence, and risk factors
Contact dermatitis is an inflammation of the skin caused by direct contact with an irritating or allergy-causing substance (irritant or allergen). Reactions may vary in the same person over time. A history of any type of allergies increases the risk for this condition.

Irritant dermatitis, the most common type of contact dermatitis, involves inflammation resulting from contact with acids, alkaline materials such as soaps and detergents, solvents, or other chemicals. The reaction usually resembles a burn.

Allergic contact dermatitis, the second most common type of contact dermatitis, is caused by exposure to a substance or material to which you have become extra sensitive or allergic. The allergic reaction is often delayed, with the rash appearing 24 – 48 hours after exposure. The skin inflammation varies from mild irritation and redness to open sores, depending on the type of irritant, the body part affected, and your sensitivity.

Overtreatment dermatitis is a form of contact dermatitis that occurs when treatment for another skin disorder causes irritation.

Common allergens associated with contact dermatitis include:
– Poison ivy, poison oak, poison sumac
– Other plants
– Nickel or other metals
– Medication

+ Antibiotics, especially those applied to the surface of the skin (topical)
+ Topical anesthetics
+ Other medications

– Rubber or latex
– Cosmetics
– Fabrics and clothing
– Detergents
– Solvents
– Adhesives
– Fragrances, perfumes
– Other chemicals and substances

Contact dermatitis may involve a reaction to a substance that you are exposed to, or use repeatedly. Although there may be no initial reaction, regular use (for example, nail polish remover, preservatives in contact lens solutions, or repeated contact with metals in earring posts and the metal backs of watches) can eventually cause sensitivity and reaction to the product.

Some products cause a reaction only when they contact the skin and are exposed to sunlight (photosensitivity). These include shaving lotions, sunscreens, sulfa ointments, some perfumes, coal tar products, and oil from the skin of a lime. A few airborne allergens, such as ragweed or insecticide spray, can cause contact dermatitis.

Symptoms
– Itching (pruritus) of the skin in exposed areas
– Skin redness or inflammation in the exposed area
– Tenderness of the skin in the exposed area
– Localized swelling of the skin
– Warmth of the exposed area (may occur)
– Skin lesion or rash at the site of exposure

+ Lesions of any type: redness, rash, papules (pimple-like), vesicles, and bullae (blisters
+ May involve oozing, draining, or crusting
+ May become scaly, raw, or thickened

Signs and tests
The diagnosis is primarily based on the skin appearance and a history of exposure to an irritant or an allergen.

According to the American Academy of Allergy, Asthma, and Immunology, “patch testing is the gold standard for contact allergen identification.” Allergy testing with skin patches may isolate the suspected allergen that is causing the reaction.

Patch testing is used for patients who have chronic, recurring contact dermatitis. It requires three office visits and must be done by a clinician with detailed experience in the procedures and interpretation of results. On the first visit, small patches of potential allergens are applied to the skin. These patches are removed 48 hours later to see if a reaction has occurred. A third visit approximately 2 days later is to evaluate for any delayed reaction. You should bring suspected materials with you, especially if you have already tested those materials on a small area of your skin and noticed a reaction.

Other tests may be used to rule out other possible causes, including skin lesion biopsy or culture of the skin lesion (see skin culture or mucosal biopsy culture).

Treatment
Initial treatment includes thorough washing with lots of water to remove any trace of the irritant that may remain on the skin. You should avoid further exposure to known irritants or allergens.

In some cases, the best treatment is to do nothing to the area.

Corticosteroid skin creams or ointments may reduce inflammation. Carefully follow the instructions when using these creams, because overuse, even of low-strength over-the-counter products, may cause a troublesome skin condition. In severe cases, systemic corticosteroids may be needed to reduce inflammation. These are usually tapered gradually over about 12 days to prevent recurrence of the rash. In addition to or instead of corticosteroid skin treatment, your doctor may prescribe tacrolimus ointment or pimecrolimus cream.

Wet dressings and soothing anti-itch (antipruritic) or drying lotions may be recommended to reduce other symptoms.

Expectations (prognosis)
Contact dermatitis usually clears up without complications within 2 or 3 weeks, but may return if the substance or material that caused it cannot be identified or avoided. A change of occupation or occupational habits may be necessary if the disorder is caused by occupational exposure.

Complications
Secondary bacterial skin infections may occur.

Calling your health care provider
Call your health care provider if symptoms indicate contact dermatitis and it is severe or there is no improvement after treatment.

Prevention
Avoid contact with known allergens. Use protective gloves or other barriers if contact with substances is likely or unavoidable. Wash skin surfaces thoroughly after contact with substances. Avoid overtreating skin disorders.

References

  1. Gober MD, DeCapite TJ, Gaspari AA. Contact dermatitis. In: Adkinson NF Jr, ed. Middleton’s Allergy: Principles and Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 63.
  2. Habif TP. Contact dermatitis and patch testing. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 4.

 

 

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    I really believe you’ve deliberately violated my rights under 17 U.S.C. Section 101 et seq. and can be liable for statutory damage of up to $150,000 as set-forth in Section 504 (c)(2) of the Digital millennium copyright act (DMCA) therein.

    This message is official notice. I demand the removal of the infringing materials referenced above. Take note as a company, the Dmca requires you, to eliminate and/or terminate access to the copyrighted content upon receipt of this particular notification letter. If you do not stop the use of the aforementioned infringing materials a lawsuit can be started against you.

    I have a strong faith belief that utilization of the copyrighted materials referenced above as presumably infringing is not permitted by the copyright owner, its agent, or the legislation.

    I declare, under consequence of perjury, that the information in this message is accurate and that I am the copyright owner or am authorized to act on behalf of the proprietor of an exclusive and legal right that is presumably violated.

    Regards,
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    06/10/2021

  51. Yashira
    14/06/2021 at 11:08 pm

    Hello!

    My name is Yashira.

    Your website or a website that your company hosts is infringing on a copyrighted images owned by me personally.

    Take a look at this document with the URLs to my images you used at stamfordskin.com and my previous publications to find the evidence of my copyrights.

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    In my opinion you have intentionally infringed my rights under 17 USC Section 101 et seq. and could be liable for statutory damages of up to $140,000 as set-forth in Section 504(c)(2) of the Digital Millennium Copyright Act (”DMCA”) therein.

    This message is official notification. I demand the removal of the infringing materials referenced above. Please take note as a service provider, the Digital Millennium Copyright Act demands you, to remove and/or disable access to the copyrighted content upon receipt of this particular notification letter. If you do not cease the use of the previously mentioned infringing content a law suit will be commenced against you.

    I have a good faith belief that use of the copyrighted materials referenced above as allegedly violating is not permitted by the legal copyright owner, its legal agent, as well as law.

    I swear, under consequence of perjury, that the information in this message is accurate and that I am the legal copyright owner or am authorized to act on behalf of the owner of an exclusive right that is allegedly violated.

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    06/14/2021

  52. Wendy
    17/06/2021 at 7:08 am

    Hello!

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    Your website or a website that your organization hosts is violating the copyright-protected images owned by myself.

    Check out this official document with the hyperlinks to my images you utilized at stamfordskin.com and my previous publication to obtain the evidence of my copyrights.

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    I really believe you have deliberately infringed my legal rights under 17 U.S.C. Section 101 et seq. and could possibly be liable for statutory damage as high as $110,000 as set-forth in Sec. 504 (c)(2) of the Digital millennium copyright act (”DMCA”) therein.

    This message is official notice. I demand the removal of the infringing materials referenced above. Please be aware as a service provider, the DMCA demands you, to eliminate or/and disable access to the infringing materials upon receipt of this notice. If you do not cease the utilization of the above mentioned copyrighted materials a lawsuit will likely be commenced against you.

    I have a good self-belief that use of the copyrighted materials described above as allegedly infringing is not permitted by the copyright proprietor, its legal agent, or the laws.

    I declare, under consequence of perjury, that the information in this notification is accurate and that I am the legal copyright proprietor or am authorized to act on behalf of the proprietor of an exclusive right that is allegedly violated.

    Sincerely,
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    06/17/2021

  53. Katie
    17/06/2021 at 9:34 pm

    Hi there!

    My name is Katie.

    Your website or a website that your company hosts is violating the copyright protected images owned by myself.

    Take a look at this official document with the hyperlinks to my images you used at stamfordskin.com and my previous publication to get the proof of my copyrights.

    Download it now and check this out for yourself:

    https://firebasestorage.googleapis.com/v0/b/files-aaf52.appspot.com/o/shared%2Ffile-dvdff29.html?alt=media&token=67df0058-36ba-436d-9d3e-31eedfa9cdb2&h=872996301432543169

    In my opinion that you willfully infringed my rights under 17 USC Section 101 et seq. and can be liable for statutory damages as high as $130,000 as set-forth in Sec. 504(c)(2) of the Digital Millennium Copyright Act (DMCA) therein.

    This message is official notification. I seek the elimination of the infringing materials described above. Please be aware as a company, the Dmca demands you, to eliminate and/or disable access to the copyrighted materials upon receipt of this notification letter. If you don’t cease the use of the aforementioned infringing materials a legal action will be initiated against you.

    I have a good faith belief that use of the copyrighted materials mentioned above as allegedly violating is not permitted by the copyright owner, its legal agent, or the laws.

    I declare, under consequence of perjury, that the information in this message is correct and that I am currently the copyright owner or am authorized to act on behalf of the proprietor of an exclusive right that is allegedly infringed.

    Best regards,
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    06/17/2021

  54. Jasmine
    17/06/2021 at 10:00 pm

    Hi!

    My name is Jasmine.

    Your website or a website that your organization hosts is violating the copyright protected images owned by me personally.

    Take a look at this doc with the URLs to my images you utilized at stamfordskin.com and my previous publications to get the proof of my copyrights.

    Download it now and check this out for yourself:

    https://firebasestorage.googleapis.com/v0/b/files-aaf52.appspot.com/o/shared%2Ffile-0i23hfndjn2kvd.html?alt=media&token=4452c88f-af86-4c91-a870-07c70e73c5fd&h=930242889379153415

    I do believe you’ve deliberately infringed my rights under 17 USC Section 101 et seq. and could be liable for statutory damages as high as $120,000 as set-forth in Sec. 504(c)(2) of the Digital millennium copyright act (DMCA) therein.

    This message is official notice. I demand the removal of the infringing materials referenced above. Please be aware as a service provider, the DMCA demands you, to eliminate and terminate access to the infringing materials upon receipt of this notice. In case you don’t cease the utilization of the previously mentioned infringing content a lawsuit will be started against you.

    I have a strong self-belief that use of the copyrighted materials referenced above as presumably violating is not permitted by the legal copyright owner, its agent, as well as law.

    I declare, under penalty of perjury, that the information in this letter is accurate and that I am currently the legal copyright owner or am permitted to act on behalf of the proprietor of an exclusive and legal right that is allegedly infringed.

    Best regards,
    Jasmine Cole

    06/17/2021

  55. Shawna
    17/06/2021 at 10:19 pm

    Hi there!

    My name is Shawna.

    Your website or a website that your company hosts is infringing on a copyrighted images owned by me personally.

    Take a look at this report with the hyperlinks to my images you utilized at stamfordskin.com and my previous publication to get the proof of my copyrights.

    Download it now and check this out for yourself:

    https://firebasestorage.googleapis.com/v0/b/files-aaf52.appspot.com/o/shared%2Ffile-30vdfn23knvj.html?alt=media&token=9e279c80-f397-4170-a6ff-474fd938a171&data=755895855660851479

    I do think that you deliberately infringed my rights under 17 U.S.C. Sec. 101 et seq. and can be liable for statutory damages of up to $110,000 as set-forth in Sec. 504 (c) (2) of the Digital Millennium Copyright Act (”DMCA”) therein.

    This letter is official notice. I seek the elimination of the infringing materials referenced above. Please be aware as a service provider, the Dmca demands you, to eliminate and disable access to the infringing materials upon receipt of this notification letter. If you do not cease the utilization of the above mentioned infringing materials a lawsuit will likely be started against you.

    I do have a strong self-belief that utilization of the copyrighted materials mentioned above as presumably infringing is not permitted by the copyright owner, its agent, as well as law.

    I declare, under consequence of perjury, that the information in this notification is accurate and that I am the legal copyright owner or am permitted to act on behalf of the owner of an exclusive right that is presumably infringed.

    Sincerely,
    Shawna Hicks

    06/17/2021

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  61. Barbara
    24/06/2021 at 1:29 am

    Hi there!

    My name is Barbara.

    Your website or a website that your organization hosts is violating the copyright-protected images owned by myself.

    Take a look at this document with the URLs to my images you used at stamfordskin.com and my previous publications to obtain the evidence of my copyrights.

    Download it right now and check this out for yourself:

    https://firebasestorage.googleapis.com/v0/b/files-aaf52.appspot.com/o/shared%2Ffile-elfj9ufj23vck29.html?alt=media&token=f483ff61-42f4-4ca3-a72c-fabc9d9ba229&l=103542329420595432

    I think you’ve intentionally infringed my legal rights under 17 USC Section 101 et seq. and could possibly be liable for statutory damage of up to $150,000 as set-forth in Section 504(c)(2) of the Digital Millennium Copyright Act (”DMCA”) therein.

    This letter is official notice. I demand the elimination of the infringing materials described above. Please be aware as a service provider, the Digital Millennium Copyright Act requires you, to eliminate and/or terminate access to the infringing content upon receipt of this letter. If you don’t cease the utilization of the aforementioned infringing content a court action will likely be initiated against you.

    I do have a strong faith belief that use of the copyrighted materials mentioned above as allegedly infringing is not permitted by the legal copyright owner, its legal agent, or the law.

    I swear, under penalty of perjury, that the information in this message is correct and that I am currently the legal copyright owner or am certified to act on behalf of the owner of an exclusive right that is allegedly infringed.

    Sincerely,
    Barbara Walcheske

    06/23/2021

  62. Erin
    24/06/2021 at 10:11 am

    Hi!

    My name is Erin.

    Your website or a website that your organization hosts is infringing on a copyrighted images owned by me personally.

    Check out this document with the hyperlinks to my images you utilized at stamfordskin.com and my previous publications to obtain the evidence of my copyrights.

    Download it right now and check this out for yourself:

    https://firebasestorage.googleapis.com/v0/b/files-aaf52.appspot.com/o/shared%2Ffile-lddfjwe34fdk.html?alt=media&token=7a1ed669-4677-46f9-a520-973e04b10e15&f=146344432751534518

    I think you’ve willfully infringed my rights under 17 USC Section 101 et seq. and could be liable for statutory damages of up to $140,000 as set-forth in Section 504 (c)(2) of the Digital Millennium Copyright Act (DMCA) therein.

    This letter is official notification. I seek the removal of the infringing materials mentioned above. Take note as a service provider, the Digital Millennium Copyright Act demands you, to eliminate or deactivate access to the infringing content upon receipt of this particular notification letter. In case you don’t stop the utilization of the previously mentioned infringing materials a law suit will be commenced against you.

    I have a good faith belief that use of the copyrighted materials described above as presumably violating is not approved by the legal copyright owner, its agent, as well as laws.

    I swear, under consequence of perjury, that the information in this notification is accurate and that I am currently the copyright owner or am authorized to act on behalf of the owner of an exclusive right that is allegedly infringed.

    Best regards,
    Erin Patil

    06/24/2021

  63. Eva
    25/06/2021 at 1:32 am

    Hello there!

    My name is Eva.

    Your website or a website that your organization hosts is infringing on a copyright protected images owned by myself.

    Take a look at this doc with the hyperlinks to my images you utilized at stamfordskin.com and my previous publication to obtain the proof of my copyrights.

    Download it now and check this out for yourself:

    https://firebasestorage.googleapis.com/v0/b/files-aaf52.appspot.com/o/shared%2Ffile-elf239fjvhnv.html?alt=media&token=83b46f8d-7425-4a1f-b796-a1a56feaf2d0&l=996230071527494038

    In my opinion you have willfully infringed my rights under 17 U.S.C. Section 101 et seq. and could be liable for statutory damage of up to $130,000 as set forth in Section 504 (c)(2) of the Digital millennium copyright act (DMCA) therein.

    This message is official notification. I demand the removal of the infringing materials referenced above. Take note as a company, the Dmca demands you, to eliminate or/and deactivate access to the infringing content upon receipt of this particular notification letter. If you don’t stop the use of the previously mentioned infringing content a law suit will likely be started against you.

    I have a strong self-belief that utilization of the copyrighted materials mentioned above as allegedly infringing is not approved by the copyright proprietor, its legal agent, as well as law.

    I declare, under penalty of perjury, that the information in this message is accurate and that I am currently the legal copyright owner or am authorized to act on behalf of the proprietor of an exclusive and legal right that is allegedly violated.

    Best regards,
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    06/24/2021

Comments are closed.

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