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    Contact Dermatitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Contact Dermatitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Contact Dermatitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook145 pages1 hour

    Contact Dermatitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Contact Dermatitis, Diagnosis and Treatment and Related Diseases
    Contact Dermatitis is a frequent skin disorder which presents as an erythematous or vesicular rash on face, neck, hands and other areas in contact with external environmental substances.
    The cause of Contact Dermatitis is related to the exposure of the skin to the external environmental substances, chemicals or plants.
    There may be a latent interval of days or years between first exposure and development of sensitization.
    Virtually any substance can cause sensitivity of the epidermis of the skin.
    Dermatitis is the inflammation of the skin that causes red, itchy skin which may also blister.
    1. Dermatitis caused by a problem from within the body.
    Atopic eczema (atopic dermatitis) is a frequent disorder which tends to run in families.
    Different parts of the skin are likely to flare up with inflammation intermittently.
    2. Dermatitis caused by a substance from outside the body.
    This normally causes patches of inflammation on areas of skin which have come into contact with the substance.
    This is called contact dermatitis.
    People who gets contact dermatitis
    1. Nurses (and other health care workers)
    2. Beauticians
    3. Bartenders
    4. Chefs (and others who work with food)
    5. Florists (and others who work with plants)
    6. Construction workers
    The patient also has a greater risk of forming contact dermatitis if the patient have one of these medical disorders:
    1. Asthma
    2. Hay fever
    3. Atopic dermatitis
    The environment also has a part to play.
    Extreme heat or cold, high humidity, and very dry air make the skin more vulnerable.
    Causes:
    Some possible triggers are:
    1. Metals particularly nickel from bracelet, pendants, neck chains
    2. Dyes from cosmetics, lipstick, clothes, hair dyes
    3. Chemicals from perfumes, soaps, shaving cream, antiseptic creams
    4. Drugs such as penicillin, sulphonamides, tetracycline, neomycin, aspirin, NSAIDs
    5. Plants such as poison ivy, flowers, pollens
    6. Animals – the fur from animals
    There are two main types of contact dermatitis
    1.Irritant contact dermatitis:
    This type is more frequent.
    It forms when something irritates the skin
    2.Allergic contact dermatitis
    The patient only requires a small amount of allergen in contact with the skin to cause the rash.
    Symptoms:
    1. Vesicular or bubbles in areas most in contact
    2. Erythrematous or red rashes in areas most in direct contact
    3. Hives or urticaria
    Diagnosis:
    To diagnose this frequent skin disorder, dermatologists:
    1. Examine the skin, paying close attention to the rash.
    2. Ask about current and past health issues.
    3. Ask questions to help them determine what is causing the rash
    If the dermatologist believes that the patient have an allergy, patch testing may be advised
    Patches with small quantities of substances to which the patient may be allergic will be applied to the skin, normally on the back with review in 2 days for any reactions
    Treatment
    Initial treatment for contact dermatitis
    The main treatment is to remove any offending substance from skin contact.
    Because the skin may also be sore, itchy and scaly, these may help clear the symptoms
    Moisturizers
    Topical steroids-Use mildest first
    Antibiotic if infected
    Oral steroid if needed
    Medicines such as azathioprine, or cyclosporine.
    Ultraviolet light exposure with psoralen (PUVA)
    Long term treatment:
    Avoid the cause
    Hand care
    Intermittent use of topical steroid
    Antihistamine
    Change job
    Other treatments:
    Oatmeal baths
    Wet dressings
    Systemic contact dermatitis:
    Some people develop a rash even when they avoid touching the allergen
    Allergens enter through food, inhalation, even tooth filling

    TABLE OF CONTENT
    Introduction
    Chapter 1 Contact Derm

    LanguageEnglish
    PublisherKenneth Kee
    Release dateDec 3, 2017
    ISBN9781370323371
    Contact Dermatitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Contact Dermatitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Contact Dermatitis,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Contact Dermatitis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Contact Dermatitis)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Contact Dermatitis

      Almost everyone gets this type of eczema at least once.

      People get contact dermatitis when something that their skin touches causes a rash.

      Some rashes happen immediately.

      Most take time to appear.

      What is Contact Dermatitis?

      Contact Dermatitis is a frequent skin disorder which presents as an erythematous or vesicular rash on face, neck, hands and other areas in contact with external environmental substances.

      The cause of Contact Dermatitis is related to the exposure of the skin to the external environmental substances, chemicals or plants.

      There may be a latent interval of days or years between first exposure and development of sensitization.

      Virtually any substance can cause sensitivity of the epidermis of the skin.

      Contact dermatitis is a rash caused by the skin reacting to a substance it has come into contact with.

      The patient may need patch testing to identify the causative substance.

      A steroid cream or ointment will normally resolve the rash.

      The long-term treatment is to avoid contact with the thing that is causing it.

      Dermatitis is the inflammation of the skin that causes red, itchy skin which may also blister.

      Dermatitis is also called eczema.

      There are several types of dermatitis.

      Dermatitis is normally grouped into two main types:

      1. Dermatitis caused by a problem from within the body.

      Atopic eczema (atopic dermatitis) is a frequent disorder which tends to run in families.

      If the patient has atopic eczema the patient is born with a tendency for the skin to become inflamed.

      Different parts of the skin are likely to flare up with inflammation intermittently.

      2. Dermatitis caused by a substance from outside the body.

      This normally causes patches of inflammation on areas of skin which have come into contact with the substance.

      This is called contact dermatitis.

      If the patient avoids the offending agent, the skin inflammation should go away.

      People who gets contact dermatitis:

      Anyone can have contact dermatitis.

      People working in certain professions have a higher danger.

      This is so frequent that the doctor may tell the patient that the patient have occupational dermatitis.

      People who are more likely to get occupational dermatitis are:

      1. Nurses (and other health care workers)

      2. Beauticians

      3. Bartenders 

      4. Chefs (and others who work with food)

      5. Florists (and others who work with plants)

      6. Construction workers

      7. Janitors

      8. Mechanics

      9. Plumbers

      Nurses and beauticians often form dry, cracked skin on their palms and fingers.

      Wearing latex gloves often throughout the day causes some people to form an allergy to latex.

      A frequent sign of this allergy is itchy, inflamed hands.

      The patient also has a greater risk of forming contact dermatitis if the patient have (or had) one of these medical disorders:

      1. Asthma

      2. Hay fever

      3. Atopic dermatitis (often called eczema)

      The environment also has a part to play.

      Extreme heat or cold, high humidity, and very dry air make the skin more vulnerable.

      What are the causes of Contact Dermatitis?

      Causes:

      Some possible triggers are:

      1. Metals particularly nickel from bracelet, pendants, neck chains, or chrome from watches, etc

      2. Dyes from cosmetics, lipstick, clothes, hair dyes

      3. Chemicals from perfumes, soaps, shaving cream, antiseptic creams

      4. Drugs such as penicillin, sulphonamides, tetracycline, neomycin, aspirin, NSAIDs, ointment bases,

      5. Plants such as poison ivy, flowers, pollens, primrose just to name a few can cause skin allergy

      6. Animals – the fur from animals can cause contact dermatitis

      Contact Dermatitis involves both sexes equally.

      A person forms contact dermatitis when something that touches the skin:

      1. Irritates the skin

      2. Causes an allergic reaction

      When the skin is irritated, a person gets irritant contact dermatitis.

      Anyone can form this type of contact dermatitis.

      It happens when something injures the outer layers of skin.

      Almost any chemical, even water, can injure the skin with enough contact.

      Any toxic chemicals like fiberglass and turpentine rapidly

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