Irritant Dermatitis

  • Danya Reich
  • Corinna Eleni Psomadakis
  • Bobby Buka
Chapter

Abstract

A 24-year-old woman presented to Primary Care with a rash on her face that occurred following use of an acne medication containing benzoyl peroxide. Her rash was diagnosed as irritant dermatitis, an inflammatory response to a physical or chemical irritant. Irritant dermatitis rashes are erythematous, pruritic, and can cause a burning sensation, especially when in contact with water. Irritant dermatitis is a common occupational injury, and is prevalent among health care workers, food handlers, hairdressers, and housekeepers. Common irritants include benzoyl peroxide, cosmetics, detergents, acids, and physical friction. Treatment should include identifying the offending irritant so that it may be avoided if possible. Irritant dermatitis is treated with topical corticosteroids in the acute phase. Emollients or moisturizers should be used in the long term in order to maintain skin integrity and ensure irritants are not able to penetrate the skin and cause inflammation.

Keywords

Dermatitis Contact Irritant Allergy Topical steroid Corticosteroid Pruritus 

References

  1. 1.
    Tan CH, Rasool S, Johnston GA. Contact dermatitis: allergic and irritant. Clin Dermatol. 2014;32(1):116–24.CrossRefPubMedGoogle Scholar
  2. 2.
    Morris-Jones R, Robertson SJ, Ross JS, White IR, McFadden JP, Rycroft RJ. Dermatitis caused by physical irritants. Br J Dermatol. 2002;147(2):270–5. Review.CrossRefPubMedGoogle Scholar
  3. 3.
    Usatine RP, Riojas M. Diagnosis and management of contact dermatitis. Am Fam Physician. 2010;82(3):249–55.PubMedGoogle Scholar
  4. 4.
    Dickel H, Kuss O, Schmidt A, Kretz J, Diepgen TL. Importance of irritant contact dermatitis in occupational skin disease. Am J Clin Dermatol. 2002;3(4):283–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Schwensen JF, Menné T, Johansen JD. The combined diagnosis of allergic and irritant contact dermatitis in a retrospective cohort of 1000 consecutive patients with occupational contact dermatitis. Contact Dermatitis. 2014;71(6):356–63.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Open Access This chapter is distributed under the terms of the Creative Commons Attribution Noncommercial License, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Authors and Affiliations

  • Danya Reich
    • 1
  • Corinna Eleni Psomadakis
    • 2
  • Bobby Buka
    • 3
  1. 1.Department of Family MedicineMount Sinai School of Medicine Attending Mount Sinai Doctors/Beth Israel Medical Group-WilliamsburgBrooklynUSA
  2. 2.School of Medicine Imperial College LondonLondonUK
  3. 3.Department of DermatologyMount Sinai School of MedicineNew YorkUSA

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