According to the National Center for Biotechnology Information, ABCD is an inflammatory reaction of the skin, most commonly affecting the hands. The condition is caused by exposure to irritants or allergenic agents. Irritant chemicals or physical agents such as solvents and soaps account for nearly 80% of cases. In turn, 20% of cases involve allergic contact and affect patients with sensitivity to an allergen. Commonly reported plant based allergens include goldenrod, ragweed, and sunflowers.
Clinical Key states that contact dermatitis affects both men and women of all ages, although it occurs most during adulthood. In fact, age plays a large role in what type of dermatitis the patient is experiencing. For example, infants are most likely to experience irritant contact dermatitis due to diapers, while older children have reactions caused by plants; poison ivy, etc. It is common for adolescents and adults to experience this condition from different soaps, lotions, or jewelry.
While men and women both contract the disease in equal amounts, the contact allergens by which they receive it varies. Women are commonly affected by the nickel found in jewelry, while men frequently receive dermatitis from chromate, a chemical found in industrial processes.
In order to improve a patient’s symptoms, it is important to establish a precise diagnosis. To do so, physicians must perform a physical exam, establish the allergen, determine what sites are involved, and obtain the patient’s history. After diagnosis, I recommend that my patients avoid the allergens responsible for the inflammatory reaction. In severe cases, systemic therapy or topical creams can help.
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Thanks for reading!
Sudhir Polisetty
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