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Treatments for Allergic contact dermatitis

Treatment List for Allergic contact dermatitis

The list of treatments mentioned in various sources for Allergic contact dermatitis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • There is no cure. Treatment is aimed at managing symptoms: avoiding allergen, antihistamines, mast cell stabilizers, steroids, cyclosporine, moisturizing creams, antibiotics for secondary infections, photochemotherapy, immune modulating drugs (tacrolimus, pimecrolimus) and immunotherapy
  • Identification and avoidance of cause
  • Use of protective measures such as gloves for prevention and avoidance of further exacerbations
  • Bathe in tepid water using a PH neutral soap or soap substitute. Avoid prolonged bathing
  • Soaking baths with bath oil or colloidal oatmeal
  • Moisturise promptly after bathing. Non - perfumed products are preferred
  • Wet compresses - aluminium acetate or potassium permanganate for infected eczema, or tap water after emollient and/or topical steroids for 15-60 minutes to increase benefits of topical therapy
  • Topical steroids - useful to control symptoms. Avoid high strength steroids on the face and neck
  • Topical immunomodulators - Pimecrolimus and Tacrolimus - may be used as an alternative to topical steroids, but long term side effects have not been fully elucidated
  • Tar and ichthammol - useful for chronic or lichenified lesions
  • Antihistamines for control of itching - probably little help with awake patients, but sedating antihistamines may have some benefits at night
  • Oral steroids - reserved for acute severe exacerbations and widespread disease. Avoid in children. Disease may rebound on cessation

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