Poison Oak, Ivy, Sumac dermatitis: Difference between revisions

Revision as of 00:16, 7 July 2016

Poison Ivy

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

Urushiol induced rash

Urushiol induced contact dermatitis

Previous exposure leads to sensitization and earlier symptoms
- 1-2 days for previous sensitizations and 10-14 days for first contact

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 44: / Line 44: @@
 *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
+*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