The diagnostic evaluation, treatment, and prevention of allergic contact dermatitis in the new millennium Donald V. Belsito, MD Journal of Allergy and.

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Presentation transcript:

The diagnostic evaluation, treatment, and prevention of allergic contact dermatitis in the new millennium Donald V. Belsito, MD Journal of Allergy and Clinical Immunology Volume 105, Issue 3, Pages 409-420 (March 2000) DOI: 10.1067/mai.2000.104937 Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 1 Acute dermatitis caused by poison ivy. Note linear arrangement of lesions typical of phytodermatitis acquired by inadvertent contact with the plant. The severe vesiculobullous reaction is typical for urushiol, the pentadecylcatechol of Toxicodendron spp. (Reproduced with permission of the Ronald O. Perelman Department of Dermatology, New York University School of Medicine.) Journal of Allergy and Clinical Immunology 2000 105, 409-420DOI: (10.1067/mai.2000.104937) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 2 Chronic dermatitis of (A) eyelids and (B) neck, but not hands, from allergen in nail care products. The patient was allergic to tosylamide formaldehyde resin in her nail polish. Similar reactions from cyanoacrylate-containing nail glue and other acrylate products used about the nails can be observed. The absence of an associated dermatitis of the fingers or hands is not unusual. (Reproduced with permission of the Ronald O. Perelman Department of Dermatology, New York University School of Medicine.) Journal of Allergy and Clinical Immunology 2000 105, 409-420DOI: (10.1067/mai.2000.104937) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 3 Acute contact dermatitis of upper arms caused by allergic reaction to disperse blue dyes. Reactions to textile dyes, as opposed to resins, may take on a highly patterned form, as demonstrated here. Unfortunately, most cases of ACD are not this graphic. (Reproduced with permission of the Division of Dermatology, University of Kansas Medical Center.) Journal of Allergy and Clinical Immunology 2000 105, 409-420DOI: (10.1067/mai.2000.104937) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 4 Lichenoid contact dermatitis caused by exposure to the photographic color developers CD-2 and CD-3. The classic lichenoid papules can be seen against a background of lichen simplex chronicus induced by chronic scratching. A number of other allergens (see text) can induce such lichenoid responses. (Reproduced with permission of the Division of Dermatology, University of Kansas Medical Center.) Journal of Allergy and Clinical Immunology 2000 105, 409-420DOI: (10.1067/mai.2000.104937) Copyright © 2000 Mosby, Inc. Terms and Conditions