2014
DOI: 10.4172/2155-6121.1000185
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Contact Dermatitis: Therapeutics When Avoidance Fails

Abstract: Allergic Contact Dermatitis (ACD) involves the penetration of an allergen through the skin surface where it acts as a hapten by binding to epidermal proteins and eliciting, a delayed Type IV hypersensitivity reaction 48 to 120 hours after exposure. This immunologic response involves the activation of Th1 cells with the subsequent release of cytokines resulting in the classic inflammatory reaction.

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Cited by 4 publications
(5 citation statements)
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“…The first reaction is the sensitization phase, followed by the elicitation phase, which is characterized by skin inflammation mediated by proinflammatory cytokines [ 10 ]. ACD is commonly treated with glucocorticoids, which also increase the risk of undesirable effects such as hypertension, diabetes, and cataracts [ 11 ]. Therefore, topical skin preparations that are safer and have a lower risk of side effects are expected to serve as therapeutic agents for ACD.…”
Section: Introductionmentioning
confidence: 99%
“…The first reaction is the sensitization phase, followed by the elicitation phase, which is characterized by skin inflammation mediated by proinflammatory cytokines [ 10 ]. ACD is commonly treated with glucocorticoids, which also increase the risk of undesirable effects such as hypertension, diabetes, and cataracts [ 11 ]. Therefore, topical skin preparations that are safer and have a lower risk of side effects are expected to serve as therapeutic agents for ACD.…”
Section: Introductionmentioning
confidence: 99%
“…Also, medical management includes topical corticosteroid, oral retinoids and immunosuppressive drugs, and phototherapy. 9 These medications have significant side effects along with their effectiveness and there are limited numbers of published placebo-controlled studies of other therapeutic interventions. 8,10,11 Therefore, researches are being conducted to discover effective drugs with fewer side effects.…”
Section: Introductionmentioning
confidence: 99%
“…The treatment cornerstone for CD is avoidance from exposure. Also, medical management includes topical corticosteroid, oral retinoids and immunosuppressive drugs, and phototherapy 9 . These medications have significant side effects along with their effectiveness and there are limited numbers of published placebo‐controlled studies of other therapeutic interventions 8,10,11 .…”
Section: Introductionmentioning
confidence: 99%
“…The prevalence rate of ACD is higher in young children under 10 years than it is adults [ 3 , 6 ]. Systemic corticosteroid or steroids combined with methotrexate, and azathioprine have been used for ACD [ 7 ]. However, long-term use of these drugs can cause unwanted side effects such as diabetes, hypertension, myelosuppression, infections, and ulcer [ 7 ].…”
Section: Introductionmentioning
confidence: 99%
“…Systemic corticosteroid or steroids combined with methotrexate, and azathioprine have been used for ACD [ 7 ]. However, long-term use of these drugs can cause unwanted side effects such as diabetes, hypertension, myelosuppression, infections, and ulcer [ 7 ]. Therefore, there is a need to develop novel agents, preferably from natural products, to treat ACD [ 3 ].…”
Section: Introductionmentioning
confidence: 99%