Case Study
Uwe Wollina
Poison oak contact dermatitis
(NACH CARE-LEITLINIE)
Keywords | Summary | Correspondence | References
Keywords
allergic contact dermatitis, erythema multiforme, Plant dermatitis, toxicodendron dermatitis, urushiols.
Schlüsselworte
Summary
Toxicodendron or Rhus contact dermatitis is quite common in North Americas and Asia. We report a case of an occupational bullous poison oak dermatitis in a geographer from Germany. Major allergens are the urushiols. The treatment consists of topical corticosteroids are topical calcineurin inhibitors. Rarely, systemic corticosteroids may be necessary, since erythema multiforme due to Rhus dermatitis has been observed.
Zusammenfassung
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Address of Correspondence
Prof. Dr. med. Uwe Wollina
Klinik für Dermatologie und Allergologie
Krankenhaus Dresden-Friedrichstadt
Akademisches Lehrkrankenhaus der TU Dresden
Friedrichstra.e 41
D-01067 Dresden
Wollina-uw@khdf.de
Conclusion
The treatment of Rhus dermatitis consists of topical corticosteroids or topical calcineurin inhibitors. Sun protection is recommended to reduce the risk of postinflammatory hyperpigmentation. For more severe cases a short course of systemic corticosteroids may be necessary. Oral antihistamines are useful to reduce the itch [7, 12, 13]. A better option is prevention by avoiding contact to these plants and wearing protective clothes [7].
References
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