Contact dermatitis
Resumo
Definición
Anamnesis y examen
Principales factores de diagnóstico
- 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
Otros factores de diagnóstico
- scaling
- lichenification
- social history of exposure
- persistence of symptoms
- crusting
- erythema multiforme
- cellulitic lesions
- leukoderma
- hypopigmentation/depigmentation
- hyperpigmentation
- purpura
- miliaria
- alopecia
- granulomatous lesions
Factores de riesgo
- occupation with frequent exposure to water or caustic material
- atopic dermatitis
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- patch testing
Pruebas diagnósticas que deben considerarse
- repeated open application test (ROAT) or provocative use test (PUT)
- skin biopsy
Algoritmo de tratamiento
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
Divulgaciones
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.
Agradecimientos
Dr JiaDe Yu would like to gratefully acknowledge Dr Gerard Guillet, Dr David M. Ozog, and Dr Snehal Desai, previous contributors to this topic.
Divulgaciones
GG, DMO, and SD declare that they have no competing interests.
Revisores por pares
Christen Mowad, MD
Assistant Professor
Department of Dermatology
Geisinger Medical Center
Danville
PA
Divulgaciones
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
Divulgaciones
JE declares that he has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
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 Resumen
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 Resumen
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 Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Atopic dermatitis
- Nummular eczema
- Dyshidrotic eczema
Más DiferencialesGuías de práctica clínica
- 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
Más Guías de práctica clínicaFolletos para el paciente
Dermatitis
Más Folletos para el paciente
Inicie sesión o suscríbase para acceder a todo el BMJ Best Practice
El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad