Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- occupational history of exposure
- history of atopic dermatitis
- previous episodes of similar dermatitis
- acute onset
- affecting hands and face
- affecting sun-exposed skin
- sparing of non-exposed areas of skin
- pruritus
- burning
- erythema
- vesicles and bullae
- urticaria
- lichenoid lesions
- corrosion or ulceration
- pustules and acneiform lesions
Outros fatores diagnósticos
- scaling
- lichenification
- social history of exposure
- persistence of symptoms
- crusting
- erythema multiforme
- cellulitic lesions
- leukoderma
- hypopigmentation/depigmentation
- hyperpigmentation
- purpura
- miliaria
- alopecia
- granulomatous lesions
Fatores de risco
- occupation with frequent exposure to water or caustic material
- atopic dermatitis
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- patch testing
Investigações a serem consideradas
- repeated open application test (ROAT) or provocative use test (PUT)
- skin biopsy
Algoritmo de tratamento
irritant contact dermatitis
allergic contact dermatitis (ACD)
contact dermatitis
Colaboradores
Autores
JiaDe Yu, MD, FAAD
Assistant Professor of Adult and Pediatric Dermatology
Director of Contact and Occupational Dermatology
Department of Dermatology
Massachusetts General Hospital
Harvard Medical School
Boston
MA
Declarações
JY was on the board for the American Contact Dermatitis Society from 2019-2022 (term ended and unpaid). JY has received a career development grant from the Dermatology Foundation and research grants from the Pediatric Dermatology Research Alliance and the American Contact Dermatitis Society. JY has received honorarium from the National Eczema Association for consultant work as part of its SEAL of approval project, and is on the editorial board for the Pediatric Dermatology journal and the Dermatitis journal.
Agradecimentos
Dr JiaDe Yu would like to gratefully acknowledge Dr Gerard Guillet, Dr David M. Ozog, and Dr Snehal Desai, previous contributors to this topic.
Declarações
GG, DMO, and SD declare that they have no competing interests.
Revisores
Christen Mowad, MD
Assistant Professor
Department of Dermatology
Geisinger Medical Center
Danville
PA
Declarações
CM declares that he has no competing interests.
John English, MBBS, FRCP
Consultant Dermatologist
Department of Dermatology
Queen's Medical Centre
Nottingham University Hospitals
Nottingham
UK
Declarações
JE declares that he has no competing interests.
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Referências
Principais artigos
Johnston GA, Exton LS, Mohd Mustapa MF, et al. British Association of Dermatologists' guidelines for the management of contact dermatitis 2017. Br J Dermatol. 2017 Feb;176(2):317-29.Texto completo Resumo
Johansen JD, Aalto-Korte K, Agner T, et al. European Society of Contact Dermatitis guideline for diagnostic patch testing: recommendations on best practice. Contact Dermatitis. 2015 Oct;73(4):195-221.Texto completo Resumo
Fonacier L, Bernstein DI, Pacheco K, et al; American Academy of Allergy, Asthma & Immunology; American College of Allergy, Asthma & Immunology; Joint Council of Allergy, Asthma & Immunology. Contact dermatitis: a practice parameter - update 2015. J Allergy Clin Immunol Pract. 2015 May-Jun;3(3 Suppl):S1-39.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Atopic dermatitis
- Nummular eczema
- Dyshidrotic eczema
Mais Diagnósticos diferenciaisDiretrizes
- Pediatric allergic contact dermatitis. Part I: Clinical features and common contact allergens in children
- Pediatric allergic contact dermatitis. Part 2: Patch testing series, procedure, and unique scenarios
Mais DiretrizesFolhetos informativos para os pacientes
Dermatitis
Mais Folhetos informativos para os pacientes
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