Poison ivy (Eastern U.S.) or poison oak (Western U.S.) is a delayed allergic reaction.  Brushing the plant on the skin results in blisters and slightly elevated lesions 1-2 days after exposure, accompanying a severe itch. Poison ivy, or poison oak, typically has a linear pattern. This image displays poison ivy in linear lesions, due to the patient either rubbing the allergen across the skin or brushing up against the poison ivy plant. This image displays broad areas of inflammation with a linear pattern typical of poison ivy (Eastern U.S.) or poison oak (Western U.S.). This image displays the poison ivy allergen on the face.  This image displays a rash with a linear distribution typical of poison ivy.  This image displays fluid-filled blisters typical of the intense allergic reaction of poison ivy dermatitis. This image displays poison ivy dermatitis where the allergen touched the skin. Linear streaks with bumps or blisters are common in those with a poison ivy allergy who come in contact with the oil from the plant. This image displays poison ivy, which is identifiable by the grouping of three leaves. Also note: Berries carry the allergen as well. This image displays the poison oak plant, which, like poison ivy, has 3 leaves. Unlike poison ivy, however, the poison oak plant typically looks more like a shrub and has leaves that resemble an oak tree's leaves. Poison sumac has between 7 and 13 leaves on each branch of the plant. Poison sumac can be differentiated from nonpoisonous types of sumac by the location of the fruit on the plant, with the fruit of the poisonous plant growing between the leaf and the branch, opposed to the ends of the branches.
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Picture of Poison Ivy, Oak, and Sumac: Poison ivy (Eastern U.S.) or poison oak (Western U.S.) is a delayed allergic reaction.  Brushing the plant on the skin results in blisters and slightly elevated lesions 1-2 days after exposure, accompanying a severe itch. Divider line
Poison ivy (Eastern U.S.) or poison oak (Western U.S.) is a delayed allergic reaction. Brushing the plant on the skin results in blisters and slightly elevated lesions 1-2 days after exposure, accompanying a severe itch.
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Treatments Your Physician May Prescribe
Your physician may prescribe:
  • In severe cases involving large body areas, a 14–20 day course of oral steroids (prednisone).
  • In cases with more limited skin involvement, medium- to high-potency topical steroids may be used to treat the trunk and extremities, while low-potency topical steroids may be prescribed to treat the face and skin fold areas.
  • Oral antihistamines may be prescribed for itching. 
  • Topical or oral antibiotics may be needed if an infection is suspected.
Last Modified: 29 Jan 2008
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