Allergic Contact Dermatitis

  • Danya Reich
  • Corinna Eleni Psomadakis
  • Bobby Buka


A 33-year-old male visited Primary Care after developing an erythematous and edematous macular rash in the periorbital area. The rash was diagnosed as allergic contact dermatitis (ACD). ACD is a T cell-mediated type IV hypersensitivity reaction that occurs after re-exposure to an allergen. Nickel, neomycin, thimerosal, formaldehyde, and fragrance mix are among the most common contact allergens. ACD is associated with occupational exposure to allergens and has a higher prevalence among salon workers, metal workers, and health care professionals. ACD may be treated with topical corticosteroids; however, allergen avoidance is the safest way to avoid recurrence.


Allergy Occupational dermatitis Allergic contact dermatitis Skin allergy Allergen Irritant Edema Type 4 hypersensitivity Type IV hypersensitivity T Cell T Cell-mediated Allergic reaction Nickel Formaldehyde Thimerosal Cosmetics Patch testing Patch test Corticosteroid Prednisone 


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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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