Saturday, 22 February 2014

Dermatology Made Simple : Exogenous Eczema : Allergic Contact Dematitis:

Allergic Contact Dermatitis

The characteristics of allergic dermatitis are as follows:

Past history of exposure to an allergen

A time period of 48 to 96 hours between exposure to allergen and clinical manifestation of allergy.

Manifestation of allergy in previously exposed areas even if allergen contact occurs at a distant site.

Clinical features of allergy persisiting for number of years.








Pictures of allergic contact dermatitis

Pathophysiology:

Allergic contact Dermatitis is a result of type IV hypersensitivity reaction (which is a type of delayed hypersensitivity)

Antigens enter the epidermis and get combined by a protein mediator which are engulfed by Langerhans cells.

T lymphocytes in regional lymph nodes become sensitized to the antigen.

On future exposure to antigen,an allergic reaction occurs due to accumulation of sensitized T lymphocytes at site of inflammatory response.

Irritant Contact Dermatitis:

This maybe caused by chemicals or physical factors.


Causative Chemicals include:

Detergents

Cosmetic products

Physical factors include:

Clothing materials

Repetitive mechanical trauma

Past exposure is not required for its manifestation.


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