Poison Oak, Ivy, Sumac dermatitis: Difference between revisions

Revision as of 00:10, 21 February 2015

Caused by Urashiols found in the sap of the plant.
Previous exposure leads to sensitization and earlier symptoms
- 1-2 days for previous sensitizations and 10-14 days for first contact

Plant	Distribution	Charateristics
Ivy	East of the Rockies	3 leaf structure
Oak	West of the Rockies	can be tree or bush vinejet black stain on leaf 3 leaf structure
Sumac	Southeast swamps	2 opposing leaflets single terminal leaf

-Ivy Shield, Stokogard, Organoclay, IvyBlock

-Technu Poison Cleanser- may solubilize bound resin several hours post exposure

-Dr Wests Ivy Detox Cleanser chelates urushiol- decreases itching even if have rash

if small can use topical Temovate 0.05%
topical anesthetic- menthol or pramoxine
single IM dose of Triamcinolone or Prednisone taper over 15-20 days
- 60mg x 4d then 50mg x 4d then 40 30 20....Use oral steroid for 3wks until skin turns over
systemic antihistamines
cooling soothing baths
Pentoxifylline- blocks formation of TNF alpha- suppresses allergic patch testing
Put sunscreen first, then prexposure ivy cream, then mosquito repellant

Authors:

@@ Line 1: / Line 1: @@
 ==Background==
 [[File:PoisonIvyOakSumac.jpeg|thumbnail]]
 *Caused by Urashiols found in the sap of the plant.
+*Previous exposure leads to sensitization and earlier symptoms
+**1-2 days for previous sensitizations and 10-14 days for first contact
-*Ivy
+{| class="wikitable"
-**East of the Rockies: 3 leaf structure
+| align="center" style="background:#f0f0f0;"|'''Plant'''
-*Oak
+| align="center" style="background:#f0f0f0;"|'''Distribution'''
-**West of the Rockies: can be tree bush or vine- jet black stain on leaf, 3 leaf structure
+| align="center" style="background:#f0f0f0;"|'''Charateristics'''
-*Sumac
+|-
-**Southeast: in swamps- 2 opposing leaflets single terminal leaf
+| Ivy ||East of the Rockies||
+*3 leaf structure
-Previous exposure leads to sensitization and earlier symptoms (1-2 days for previous sensitizations and 10-14 days for first contact)
+|-
+| Oak||West of the Rockies||
+*can be tree or bush
+*vinejet black stain on leaf
+*3 leaf structure
+|-
+| Sumac||Southeast swamps||
+*2 opposing leaflets single terminal leaf
+|}
 ==Treatment==