Treatment Desired Outcomes and Goals

® Identifying the causative substance and eliminating its exposure is the initial treatment goal for contact dermatitis. Although physical symptoms can develop almost immediately after contact, removal of the offending agent will improve existing symptoms and prevent the occurrence of further complications. The second treatment goal is symptom relief. Since inflammation and pruritus, as well as lesion formation, are likely to result from contact dermatitis, appropriate selection of nonpharma-cologic and pharmacologic agents for these symptoms is necessary.

Table 65-5 Common Agents Causing Contact Dermatitis

Irritant Contact Dermatitis

Soaps Detergents Cosmetics Solvents

Acid, mild or strong Alkali, mild, or strong Allergic Contact Dermatitis

Plant resins, poison ivy, poison oak, sumac Metals (nickel or gold in jewelry) Latex and rubber Cigarette smoke

Local anesthetics (lidocaine, benzocaine)

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