Difference between revisions of "Contact Dermatitis"

Revision as of 15:44, 28 March 2011

Introduction

Contact dermatitis is an inflammatory skin disease caused by contact of the skin with a chemical.

There are thought to be two types of contact dermatitis; irritant contact dermatitis, which is caused by a direct chemical contact on the skin. This is rare. And secondly, allergic contact dermatitis, which is a type IV hypersensitivity reaction to an antigen.

Chemicals such as acids, alkali, detergents, irritant plants, medications and home furnishings can all cause the condition. In cats and dogs lesions usually occur on the skin of the ventral abdomen, feet, chest, eyelids and axillae. In horses lesions are most prevalant on the muzzle, lower limbs and under tack.

Signalment

This condition can appear in most dosmestic species, but is rare in small animals and rare (probably due to undiagnosis) in cattle too. There is no sex, breed or age predilection to the disease.

Clinical Signs

The skin will appear erythematous pathes and papules and there may occasionally be there presence of vesicles. Many lesions are also caused by self-trauma and include ulcers and crusts.
Lesions will appear in typical sites such as those described above and relating to the causes e.g. if the allergy is to the carpet then a dog will have the signs on his abdomen and scrotum.

Diagnosis

History and clinical signs may be indicative of the disease.

Contact restriction is a way of diagnosing the condition, but is often difficult to perform. Re-exposure to the allergen and re-emergence of clinical signs would then be diagnostic for the condition.
Patch tests are rarely performed on animals, but include applying substances to an area for 48hours and then removing and assessing for papules and plaques at these sites.

Treatment and Control

It is important to avoid the offending substance wherever possible.

Anti-inflammaotry therapy may be required topically, such as glucocorticoids. If secondary bacterial or yeast infection has occured then appropriate treatment for these is also required.

References

Blood, D.C. and Studdert, V. P. (1999) Saunders Comprehensive Veterinary Dictionary (2nd Edition), Elsevier Science.
Bond, R. (2008) Dermatology Study Guide, Royal Veterinary College.
Foster, A, and Foll, C. (2003) BSAVA small animal dermatology (second edition), British Small Animal Veterinary Association

@@ Line 1: / Line 1: @@
-{{OpenPagesTop}}
 == Introduction ==
-Contact dermatitis is an '''inflammatory skin disease''' caused by contact of the skin with a chemical.
+Contact dermatitis is an inflammatory skin disease caused by contact of the skin with a chemical.
+<br>
-There are thought to be two types of contact dermatitis; '''irritant contact dermatitis''', which is caused by a direct chemical contact on the skin. This is rare. And secondly, '''allergic contact dermatitis''', which is a [[Type IV Hypersensitivity|type IV hypersensitivity]] reaction to an antigen.
+There are thought to be two types of contact dermatitis; irritant contact dermatitis, which is caused by a direct chemical contact on the skin. This is rare. And secondly, allergic contact dermatitis, which is a type IV hypersensitivity reaction to an antigen.
 <br>
-Irritants such as '''faeces''' or '''urine''', and '''chemicals''' such as acids, alkali, detergents, irritant plants, medications and home furnishings can all cause the condition.
+Chemicals such as acids, alkali, detergents, irritant plants, medications and home furnishings can all cause the condition. In cats and dogs lesions usually occur on the skin of the ventral abdomen, feet, chest, eyelids and axillae. In horses lesions are most prevalant on the muzzle, lower limbs and under tack.
-In cats and dogs lesions usually occur on '''thinly-haired areas''' such as the skin of the ventral abdomen, feet, chest, eyelids and axillae.
+<br>
-In horses lesions are most prevalent on the muzzle, lower limbs and under tack.
-Farm animals may present with lesions in a variety of locations depending on the nature of the contactant.
 == Signalment ==
-The '''allergic condition''' can appear in most domestic species, but is rare in small animals and rare (probably due to undiagnosis) in cattle too. There is no sex, breed or age predilection to the disease.
+This condition can appear in most dosmestic species, but is rare in small animals and rare (probably due to undiagnosis) in cattle too. There is no sex, breed or age predilection to the disease.
-'''Urine scald lesions''' will occur in any animal that is recumbent, paralysed or poorly managed.
+<br>
 == Clinical Signs ==
-The skin will appear erythematous with [[Skin Glossary - Pathology| patches and papules and occasionally vesicles]]. Many lesions are also caused by self-trauma and include ulcers and crusts. Secondary bacterial infection can also occur.
+The skin will appear erythematous [[Skin Glossary - Pathology|pathes and papules]] and there may occasionally be there presence of [[Skin Glossary - Pathology|vesicles]]. Many lesions are also caused by  self-trauma and include [[Skin Glossary - Pathology|ulcers and crusts]].
+<br>
 Lesions will appear in typical sites such as those described above and relating to the causes e.g. if the allergy is to the carpet then a dog will have the signs on his abdomen and scrotum.
-Urine scald lesions are often '''extremely painful'''.
+<br>
 == Diagnosis ==
-'''History and clinical signs''' may be indicative of the disease.
+History and clinical signs may be indicative of the disease.
+<br>
-'''Contact restriction''' is a way of diagnosing the condition, but is often difficult to perform. Re-exposure to the allergen and re-emergence of clinical signs would then be diagnostic.
+Contact restriction is a way of diagnosing the condition, but is often difficult to perform. Re-exposure to the allergen and re-emergence of clinical signs would then be diagnostic for the condition.
+<br>
+Patch tests are rarely performed on animals, but include applying substances to an area for 48hours and then removing and assessing for papules and plaques at these sites.
-'''Patch tests''' are rarely performed on animals, but include applying substances to an area for 48 hours and then removing and assessing for papules and plaques at these sites.
+<br>
-==Pathology==
-Grossly, there will be '''erythema, papules, +/- vesicles and exudation forming crusts''' in later stages. If the irritation is chronic, lichenification, hyperpigmentation and alopecia may also be noticed.
-'''Microscopically''', one will find spongiotic superficial perivascular dermatitis and mononuclear cells. If the disease is chronic, then epidermal hyperplasia will also be present. [[Eosinophils]] may also be involved if the aetiology is allergic.
 == Treatment and Control ==
-It is important to '''avoid the offending substance''' wherever possible.
+It is important to avoid the offending substance wherever possible.
+<br>
-'''Anti-inflammatory therapy''' may be required topically, such as glucocorticoids. If secondary bacterial or yeast infection has occurred then appropriate treatment for these is also required.
+Anti-inflammaotry therapy may be required topically, such as glucocorticoids. If secondary bacterial or yeast infection has occured then appropriate treatment for these is also required.
-Areas with lesions caused by irritants should be '''carefully washed with warm water''' and thoroughly dried. Topical antibiotic ointments should be applied until the lesions heal.
+<br>
-{{Learning
-|flashcards = [[Small Animal Dermatology Q&A 06]]
-}}
 == References ==
-Blood, D.C. and Studdert, V. P. (1999) '''Saunders Comprehensive Veterinary Dictionary '''(2nd Edition),'' Elsevier Science''.
+Blood, D.C. and Studdert, V. P. (1999) Saunders Comprehensive Veterinary Dictionary (2nd Edition), Elsevier Science.
 <br>
-Bond, R. (2008) '''Dermatology Study Guide, '''''Royal Veterinary College.''
+Bond, R. (2008) Dermatology Study Guide, Royal Veterinary College.
 <br>
-Foster, A, and Foll, C. (2003)''' BSAVA small animal dermatology '''(second edition),'' British Small Animal Veterinary Association ''
+Foster, A, and Foll, C. (2003) BSAVA small animal dermatology (second edition), British Small Animal Veterinary Association
-{{review}}
+[[Category:Integumentary System - Chemical Damage]]
-{{OpenPages}}
-[[Category:Type IV Hypersensitivity Diseases]]
-[[Category:Integumentary System - Hypersensitivity Reactions]]
-[[Category:Integumentary System - Chemical Damage]]
 [[Category:Allergic Skin Diseases]]
-[[Category:Expert Review]]
+[[Category:To Do - Review]]