Podcast
Questions and Answers
What is the primary objective of diagnosing and treating allergic contact dermatitis (ACD)?
What is the primary objective of diagnosing and treating allergic contact dermatitis (ACD)?
- To identify and avoid the offending allergen (correct)
- To manage symptoms with only topical treatments
- To minimize the use of corticosteroids
- To ensure the patient undergoes extensive testing
Which of the following is considered first-line treatment for localized acute flare of ACD?
Which of the following is considered first-line treatment for localized acute flare of ACD?
- Oral antibiotics
- Systemic antihistamines
- Topical corticosteroids (correct)
- Biologic therapy
In the treatment of severe or widespread ACD eruptions, which dosage regimen is typical for oral prednisone?
In the treatment of severe or widespread ACD eruptions, which dosage regimen is typical for oral prednisone?
- 2 mg/kg/day for 1 week followed by tapering
- 1 mg/kg/day for 1 week followed by tapering (correct)
- 0.5 mg/kg/day for 2 weeks followed by a steady dose
- 1 mg/kg/day for 3 weeks
What is the role of databases like CAMP and CARD in managing allergens?
What is the role of databases like CAMP and CARD in managing allergens?
After the initial week of oral prednisone treatment for severe ACD, what is the next step in the tapering process?
After the initial week of oral prednisone treatment for severe ACD, what is the next step in the tapering process?
What is important for patients to do in relation to their identified allergens?
What is important for patients to do in relation to their identified allergens?
Flashcards
Allergic Contact Dermatitis Management Goal
Allergic Contact Dermatitis Management Goal
Identifying the specific substance causing the allergy and then avoiding contact with it.
Patch Testing
Patch Testing
A test that involves applying tiny amounts of possible allergens to the skin to see if a reaction occurs.
Allergen Avoidance Databases
Allergen Avoidance Databases
Resources that provide lists of alternative products for people with allergies, helping them avoid contact with known allergens.
First-Line Treatment for Localized ACD
First-Line Treatment for Localized ACD
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Treatment for Severe or Widespread ACD
Treatment for Severe or Widespread ACD
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Rebound
Rebound
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Study Notes
Allergic Contact Dermatitis (ACD) Diagnosis and Treatment
- Goals of ACD diagnosis and treatment are identifying the offending allergen and its avoidance.
- Diagnosis involves thorough history, physical exam, and patch testing of relevant allergens.
- Counseling tailored to the individual patient is crucial.
- Patient effort to avoid causative agents is necessary.
- Two databases, CAMP and CARD, assist patients in avoiding allergens by providing alternative product lists.
- Topical corticosteroids are first-line treatment for localized acute ACD flares.
- Topical corticosteroids are typically used for 2-3 weeks to prevent rebound.
- Severe or widespread eruptions require a 3-week taper of oral prednisone.
- Oral prednisone regimen is 1 mg/kg/day for 1 week, then tapered weekly over 3-4 weeks.
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