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  • Dinkar Bakshi

Contact dermatitis – allergy to environmental allergens

Contact dermatitis is a common skin condition characterized by redness, inflammation, and itching of the skin, typically in response to direct contact with a substance that irritates the skin or triggers an allergic reaction. This condition can affect people of all ages and backgrounds and can occur anywhere on the body. Contact dermatitis can be broadly categorized into two types: irritant contact dermatitis and allergic contact dermatitis.

Irritant Contact Dermatitis:

Causes: Irritant contact dermatitis occurs when the skin comes into direct contact with a substance that damages or irritates the skin. Common irritants include chemicals (e.g., detergents, cleaning products), solvents, acids, alkalis, soaps, and excessive moisture.

Symptoms: Symptoms of irritant contact dermatitis typically include redness, burning, stinging, itching, and dry or cracked skin. In more severe cases, blisters or ulcers may develop.

Onset: Symptoms usually appear shortly after exposure to the irritant, and the severity can vary depending on factors such as the duration and concentration of exposure.

Allergic Contact Dermatitis:

Causes: Allergic contact dermatitis is triggered by an allergic reaction to a specific substance, often after previous sensitization. Common allergens include nickel (common in jewelry), fragrances, preservatives in cosmetics and personal care products, latex, and certain plants (e.g., poison ivy, poison oak).

Symptoms: Symptoms of allergic contact dermatitis are similar to those of irritant contact dermatitis but may also include the development of small, fluid-filled blisters. The rash tends to be more confined to the area of contact with the allergen.

Onset: Allergic contact dermatitis typically has a delayed onset, with symptoms appearing 24 to 48 hours or even days after exposure.


Diagnosing contact dermatitis typically involves a healthcare provider conducting a physical examination, reviewing the patient's medical history, and discussing possible exposures to irritants or allergens. In some cases, patch testing may be recommended to identify specific allergens responsible for allergic contact dermatitis.

Treatment and Management:

The management of contact dermatitis primarily involves identifying and avoiding the substances that trigger the condition. Additionally, treatment options may include:

Topical Corticosteroids: These can help reduce inflammation and itching. The strength and duration of treatment depend on the severity of the condition.

Emollients and Moisturizers: Regular use of emollients and moisturizers can help restore and maintain the skin's barrier function.

Oral Antihistamines: These may be used to relieve itching and improve sleep quality.

Avoidance Measures: Educating patients about avoiding irritants and allergens, using protective measures (e.g., gloves), and choosing hypoallergenic personal care products can prevent recurrences.

Severe Cases: In severe cases, oral corticosteroids or other medications may be prescribed by a healthcare provider.

Contact dermatitis is generally a non-life-threatening condition, but it can be uncomfortable and impact one's quality of life. Effective management often involves a combination of identifying triggers, practicing good skincare, and, in some cases, using medications as prescribed by a healthcare provider.

Book your appointment with Dr Bakshi one of the few formally trained top allergy cosultants in London and Birmingham, head to British Allergy Clinic, the best private allergy clinic that provides comprehensive care and treatment for all your allergies.

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