Saturday, August 6, 2011

Allergic Contact Dermatitis (ACD)

Allergic contact dermatitis (ACD) is a condition where patients develop inflammatory skin changes owing to contact with an allergen. Scientifically speaking allergic contact dermatitis is a delayed type of induced sensitivity. Manifestations of allergic contact dermatitis are redness of the skin (erythema), swelling (edema) and blistering (vesiculation). Allergic contact dermatitis is differ from contact dermatitis, which is due to the chemicals that directly damage the skin ( Irritant Contact Dermatitis).

Jadassohn was the first person who described allergic contact dermatitis (ACD). Sulzberger also contributed his knowledge to develop the patch test, which is used to identify the specific allergen.

Prevalence of different substances like pollens, chemicals and metals in the environment and genetic makeup of the individuals are the main determinants of allergic contact dermatitis (ACD).

Detailed history regarding allergies and patch test are important in identifying the allergen which causing allergic contact dermatitis. And avoidance of the identified allergen is the mainstay of the treatment. Topical corticosteroid and antihistamines play a big role in treatment of allergic contact dermatitis.