What is airborne contact dermatitis? Airborne contact dermatitis refers to acute and chronic dermatitis of exposed parts of the body, especially the face, caused by particles suspended in the air. These particles may include fibres, dust, vapours, sprays, gases, and plant materials. Contact dermatitis is defined as airborne based on the following factors: The existence of a volatile or airborne causative agent The clinical presentation The history of the patient Patch testing.How is airborne contact dermatitis classified? Airborne contact dermatitis includes: Airborne irritant contact dermatitis Airborne allergic contact dermatitis Airborne phototoxic dermatitis (see DermNet's page on Photocontact dermatitis) Airborne photoallergic dermatitis. Apart from resulting in dermatitis, airborne skin disease can also present as: Airborne contact urticaria An acneiform reaction A lichenoid eruption Exfoliative dermatitis Lymphomatoid contact dermatitis Purpura A pustular reaction Telangiectasia An erythema multiforme-like reaction. Who gets airborne contact dermatitis? Airborne contact dermatitis can affect anyone; it is seen commonly in occupations associated with exposure to known allergens (see DermNet's page on occupational skin disease). Workers in the following industries are commonly affected: Painting and paint manufacture Hairdressing Beauty industry Construction and building The surface coatings industry Furniture manufacture, the timber industry, and carpentry Pharmaceuticals, pharmacy, and healthcare Agriculture. A personal history of atopy, particularly atopic dermatitis, is also a risk factor for airborne allergic and irritant contact dermatitis. AD What causes airborne contact dermatitis? The sources of airborne contact dermatitis may be occupational or non-occupational. Some common causal agents of airborne contact dermatitis are listed below. Airborne allergic contact dermatitis Airborne allergens that can induce allergic contact dermatitis include: Preservatives — particularly methylisothiazolinone, formaldehyde, and benzalkonium chloride — there has been a recent epidemic of airborne allergic contact dermatitis from methylisothiazolinone in water-based paints on freshly painted walls Paraphenylenediamine in hair dye and ammonium persulfate (hairdressing bleach) Plastic, rubber, and glue components — including epoxy resin, phenol-formaldehyde resin, acrylate, isocyanate, and thiuram Plants, natural resins, and wood allergens — including Parthenium hysterophorus, Compositae, rosin from pine, propolis, tropical woods, Tanacetum parthenium (feverfew); Parthenium dermatitis is widespread in India Drugs — budesonide, omeprazole, olanzapine, tetrazepam, and statins Metals — particularly gold, mercury, and nickel.

1. CASE PRESENTATION
DERMATOLOGY [ABCD]
BY
P. Naveena
HT.NO:18351D1013
Pharm. D 6th Year.
d 20-04-2023

2.  Subjective findings :
A 55 years old female patient with
weight of 64kg’s came to the hospital with chief
complaints of Itching, rashes on palms, hands,
legs .
No Past Medical history and
medication history.

3. Physical examination:
An itchy rash, dry cracked, scaly skin, crusting rashes all over the hands and legs.

4.  Assessment :
Based on subjective findings the patient was diagnosed with ‘‘AIR
BORNE CONTACT DERMATITIS’’

5. About Disease:
Definition: Airborne contact dermatitis refers to acute and chronic dermatitis of exposed parts of the body, especially the face, caused
by particles suspended in the air. These particles may include fibers, dust, vapors, sprays, gases, and plant materials.
 Airborne contact dermatitis can affect anyone;
 it is seen commonly in occupations associated with exposure to known allergens.
 Workers in the following industries are commonly affected:
• Painting and paint manufacture
• Hairdressing
• Beauty industry
• Construction and building
• The surface coatings industry
• Furniture manufacture, the timber industry, and carpentry
• Pharmaceuticals, pharmacy, and healthcare
• Agriculture.

6.  Airborne allergens that can induce allergic contact dermatitis include:
• Preservatives — particularly methylisothiazolinone, formaldehyde, and benzalkonium
chloride — there has been a recent epidemic of airborne allergic contact dermatitis from
methylisothiazolinone in water-based paints on freshly painted walls
• Paraphenylenediamine in hair dye and ammonium persulfate (hairdressing bleach)
• Plastic, rubber, and glue components — including epoxy resin, phenol-formaldehyde
resin, acrylate, isocyanate, and thiuram
• Plants, natural resins, and wood allergens — including Parthenium
hysterophorus, Compositae, rosin from pine, propolis, tropical woods, Tanacetum
parthenium (feverfew); Parthenium dermatitis is widespread in India
• Drugs — budesonide, omeprazole, olanzapine, tetrazepam, and statins
• Metals — particularly gold, mercury, and nickel.

7.  Clinical features:
 The distribution of airborne contact dermatitis is usually symmetrical. The exposed areas are
most commonly affected, including the face, dorsal hands, neck, upper chest, and
forearms. Eyelid contact dermatitis is common and can be the only affected site.
Occasionally, covered areas can also be affected due to the accumulation of airborne particles
under the garments.
 Common symptoms of airborne contact dermatitis include itching, burning, and stinging.
 Airborne contact dermatitis usually presents
with diffuse scaly erythematous macules but plaques may also occur. Sometimes a
pustular rash can occur as a result of secondary bacterial infection.

9.  Complications:
 Contact dermatitis can lead to an infection if you repeatedly scratch the affected area, causing it
to become wet and oozing. This creates a good place for bacteria or fungi to grow and may cause
an infection.
 Mental health conditions, such as low self-esteem and depression.
Diagnosis:
 The diagnosis of airborne dermatitis is usually made on the basis of history of the patient, the
distribution and morphology of the lesions and patch test, prick test or Radio allergosorbent test
 Physical examination

10.  Treatment:
• Emollients
• Topical corticosteroids.
 For severe cases, treatment can include:
• Systemic steroids
• Azathioprine
• Mycophenolate
• Methotrexate
• Ciclosporin.

11.  Plan:
S.NO
GENERIC
NAME
BRAND
NAME
DOSE ROA FREQUENCY Days
of
treatme
nt
01
Tab.
AZITHROMYCIN
AZISAFE 250 mg P/O OD
For 6
days
02 Tab. HYDROXYZINE
HCL
Hydroxy 10mg P/O OD for 1
month
03
GLYCERINE 15% AQUASOFT 50 gm L/A BD
for 1
month
04 Cream.
MOMETASONE
FUROATE
MOMOSONE
CREAM
0.05%+
0.1%
L/A OD
for 2
Weeks

12. Patient Counselling :
 Shower daily & avoid scrubbing your skin.
 You can eat soft and healthy food and drink plenty of water to enhance your own resistance.
 Use a mild soap and body wash.
 Use lukewarm water.
 Manage your stress.
 Don’t scratch or pick at the lesions.
 Wear soft cotton & linen materials.
 Avoid the possible irritants.
 Decrease Alcohol intake.

13.  Prevention
 You can take the following steps to help prevent contact dermatitis:
• Avoid irritants and allergens. Try to identify and avoid the cause of your rash. For ear and body
piercings, use jewelry made of hypoallergenic material, such as surgical steel or gold.
• Wash your skin. For poison ivy, poison oak or poison sumac, you might be able to remove most of the
rash-causing substance if you wash your skin right away after coming into contact with it. Use a mild,
fragrance-free soap and warm water. Rinse completely. Also wash any clothing or other items that may
have come into contact with a plant allergen, such as poison ivy.
• Wear protective clothing or gloves. Face masks, goggles, gloves and other protective items can shield you
from irritating substances, including household cleansers.
• Apply an iron-on patch to cover metal fasteners next to your skin. This can help you avoid a reaction to
jean snaps, for example.
• Apply a barrier cream or gel. These products can provide a protective layer for your skin. For example, a
nonprescription skin cream containing bentoquatam (Ivy Block) may prevent or lessen your skin's reaction
to poison ivy.
• Use moisturizer. Regularly applying moisturizing lotions can help restore your skin's outermost layer and
keep your skin supple.
• Take care around pets. Allergens from plants, such as poison ivy, can cling to pets and then be spread to
people. Bathe your pet if you think it got into poison ivy or something similar.