Abstract

Irritant contact dermatitis (ICD) represents one of the most common dermatoses and it is caused by an incredibly diverse source of provocative agents. Determination of the inciting irritant or irritants is critical to the successful diagnosis and subsequent treatment of this frustrating, and at times disabling, disorder. The protean range of clinical presentations varies from sensory disturbances without visible skin findings to severe chemical burns and ulcers. The correct diagnosis rests on an analysis of critical objective signs of disease coupled with an insightful targeted history. Sources of irritants are ubiquitous, i.e. they are not limited to the workplace but are a part of routine everyday activities. Preventative measures include work process change, personal protective equipment, and maximizing the barrier defenses of the epidermis. Common causes of ICD and their sources are discussed herein.

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