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Contact Dermatitis

WHAT YOU SHOULD KNOW

Contact dermatitis (DER-muh-TIE-tus) is a skin reaction to an irritating substance. People with allergies often have this condition. It frequently affects the hands, feet, and skin folds such as those found in the groin. The problem may come and go, but can usually be treated effectively.

Causes

In people predisposed to this problem, a wide variety of substances may cause irritation. Typical culprits include sprays, jewelry, soaps, some medicines, and makeup. The condition tends to run in families.

Signs/Symptoms

The exposed area becomes dry, red, cracked, and itchy, and develops what looks like a rash. The skin may blister and become sore.

Care

Try to find out what is causing the problem and stay away from it. Medication may relieve the itching and irritation.

WHAT YOU SHOULD DO

  • Keep the area of skin that is affected away from hot water, soap, sunlight, chemicals, acidic substances, or anything else that you think would irritate it. Do not rub the skin.
  • You may use over-the-counter medications such as topical steroids (which reduce inflammation) and lubricants (which keep moisture in your skin). Burow's solution will reduce inflammation. Mix one packet or tablet in 2 cups of cool water. Dip a clean washcloth in the mixture, wring it out a bit, put it on the affected area, and leave it in place for 30 minutes. Then resoak the wash cloth and apply again. Do this as often as possible throughout the day. If the area is too large to cover with a wash cloth, take several cornstarch, baking soda, or colloidal oatmeal baths daily.
  • Do not use any other creams, lotions, or ointments. Many of these products may make your dermatitis worse.
  • If your doctor prescribes medicine to use on the irritated area, apply it exactly as directed. Certain strong medicines can cause side effects even when applied only to the skin.
  • You may want to rest the affected area until it is less sore.

Call Your Doctor If...

  • You develop a high temperature
  • You see signs of infection, such as swelling, tenderness, redness, or warmth, at the affected area.
  • Treatment does not relieve your symptoms within a few days.
  • You have any problems that may be related to the medicine you are using.

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