Poison Oak, Ivy, Sumac dermatitis: Difference between revisions

Revision as of 16:36, 20 February 2015

Ivy
- East of the Rockies: 3 leaf structure
Oak
- West of the Rockies: can be tree bush or vine- jet black stain on leaf, 3 leaf structure
Sumac
- Southeast: in swamps- 2 opposing leaflets single terminal leaf

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

-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:

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 ==Background==
 [[File:PoisonIvyOakSumac.jpeg|thumbnail]]
-*ivy
+*Ivy
-**found east coast- 3 leaf structure
+**East of the Rockies: 3 leaf structure
-*oak
+*Oak
-**along Pacific Coast can be tree bush or vine- jet black stain on leaf, 3 leaf structure
+**West of the Rockies: can be tree bush or vine- jet black stain on leaf, 3 leaf structure
-*sumac
+*Sumac
-**in swamps- 2 opposing leaflets single terminal leaf
+**Southeast: in swamps- 2 opposing leaflets single terminal leaf
+Previous exposure leads to sensitization and earlier symptoms (1-2 days for previous sensitizations and 10-14 days for first contact)
 ==Treatment==