Contact Dermatitis
= Contact Eczema
An eczematous dermatitis caused
by exposure to substances in the
environment.
Substances act as irritants and cause
acute / subacute/ or chronic
eczematous inflammation.
(Nickel Allergy )
Erythema / Edema
(Nickel) Well demarcated
Prominent
Fissures of Palms
Hand Predilection
(Extensive Lichenification
demonstrated)
10%of infants are affected &75% of cases begins within first 6 weeks
.:Chronic and recurring (repeatedly occurring symptoms)
Typical distribution of the Atopic dermatitis rash:
:: Infants Scalp, face (chin and cheeks).
As the infant crawlextensor surfaces of extremities.
:: children &adultsFlexor surface of elbow&knee,neck,wristand ankles .
-Till age of school entry.
.:Past/Family history of Atopic diseases like asthma, rhinitis, etc
thin wall vesiclesoon rupturesexudates serum dries to form
honey colored crust separate to leave erythemafade without scar.
Topical
Antibiotic
Fusiderm, fusi6
Systemic
Antibiotic
Topical Anti-septic
K permengane (remove crusts): تادامك ءيفاد ءام بوك فصن ىلع نيتقلعم
ايموي نيترم ةعاس عبر ةدمل
Gentian violet paint (remove vesicles)
Betadine shampoo or sol
Duracef,Curacef,
ibidroxil,biodroxil
VelocefCeporex
Topical
Corticosteroid
Betaderm2.50
Betnovate5.00
Kenacort,micort,topicort
2.30 3.60 4
Not exceed one week
IN Face,folds, infant
Perderm4 ,dermatop8.4,
Elecon18
نوزيتروكورديهلاو
زارب ليل� لمعي–عوبسلا رمتسي جلاعلا
Multivitamin
Halorangesyrup ءادغلا لبق ةقلعم
Or Hipotencycap.
ايموي ءادغلا دعب ةلوسبك
In herpes simplex:
Vesicles small 1 to 2mm ,
Tightly grouped
Fixed, persistent for longer period
Topical
Anti-viral
Acyclovir cream 4 L.E
ناهد5 تارم
لصحي ام لبقeruption
مويب اهلبق ناقرحب سساح ول
Burning,tinglingor hyperethesia
Few hours to few days Before eruption
Vesicles on erythematous base
Unilateral, Severe pain localized to the nerve
Pain is shock likeor continuous burning pain with hyperalgesia
-Previously had chicken pox
-Thoracic dermatomes are affected in 50% of cases
-2/3 of patients with herpes zoster are over 50 years of age
-Uncommon in children
-Recurrent in 5% of cases.
Pruritus mainly at night. (insomnia)
+vefamily history.
Distribtion: delicate non hairy areas… sebum of hair is anti-scabitec(Acne no scabies)
Scratch marks: wrist, border ofhand &fingers, finger web, elbow, axilla ..
Around umblicus…around nipple in F around genitalia &ankle in M
not chest ..not shoulder
In preschool children ; around palm &sole &lateral margin of the feet &scalp