DERM- contact derm

Question 1

irritant contact derm

Answer 1

large erythematous patch, descrete geometric pattern that matches shape of whatever caused irritation (belt buckle with nickle at umbilicus)

Question 2

Allergic contact derm

Answer 2

may appear in same locations

erythematous and edmatous with small coalescing eczematous vesicles and papules

red and swollen

can be contact and allergic

sometimes site of exposure does not correlate with exposure location

Question 3

location of dermatitis provider clues for diagnosis

Answer 3

clothing- rubbing areas such as extremities

cosmetics- face, neck

detergents on area of that clothing

Question 4

Treatment

Answer 4

avoid irritant

topical corticosteriods can provide symptomatic relief, best route to find cause and avoid or treat cause

change to dye/frag free laundry soaps/diapers/socks

red area around lips from licking lips - allergy to something on tongue- use vaseline or chap stick to prevent licking- lip lickers dermatitis