Allergic Contact Dermatitis (Nursing)
- PMID: 33760443
- Bookshelf ID: NBK568684
Allergic Contact Dermatitis (Nursing)
Excerpt
Allergic contact dermatitis (ACD) is a type 4 or delayed-type, hypersensitivity response (DTH) by an individual’s immune system to a small molecule (< 500 daltons), or hapten, that contacts a sensitized individual’s skin. The initial or induction phase of ACD occurs when the hapten combines with a protein to form a complex that leads to the expansion of an allergen-specific T cell population; this process is known as sensitization. During the elicitation phase, re-exposure to the antigen leads to the development of dermatitis. ACD accounts for 20% of contact dermatoses, and allergens differ greatly based upon geography, personal habits and hobbies, and often, the types of preservatives that are legally permissible, such as quaternium-15 in the United States but not Europe.
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Sections
- Learning Outcome
- Introduction
- Nursing Diagnosis
- Causes
- Risk Factors
- Assessment
- Evaluation
- Medical Management
- Nursing Management
- When To Seek Help
- Outcome Identification
- Monitoring
- Coordination of Care
- Health Teaching and Health Promotion
- Risk Management
- Discharge Planning
- Pearls and Other issues
- Review Questions
- References
References
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- Lampel HP, Powell HB. Occupational and Hand Dermatitis: a Practical Approach. Clin Rev Allergy Immunol. 2019 Feb;56(1):60-71. - PubMed
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- Vocanson M, Hennino A, Rozières A, Poyet G, Nicolas JF. Effector and regulatory mechanisms in allergic contact dermatitis. Allergy. 2009 Dec;64(12):1699-714. - PubMed
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