This image displays an allergy to the nickel found in the watch case.  The result is a scaly, itchy, persistent skin rash where the watch touches the skin. This image displays fluid-filled blisters from an intense allergic reaction to a topical ointment. This image displays fiddler's neck, contact dermatitis from a violin. Allergic contact dermatitis is marked by redness, swelling, and itching. This child is allergic to the nickel content of the watch he had been wearing. This image displays redness and scaling with a sharp boundary around the affected area typical to contact allergic dermatitis. This image displays a severe contact allergy around the mouth. This image displays the linear areas of redness and scaling typical to a contact allergy.  This image displays a red patch of contact dermatitis on the buttocks.  Allergic contact dermatitis is marked by redness, swelling, and itching. This image displays the scaling, slightly raised lesions typical of allergic contact dermatitis in a child.
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Allergic Contact Dermatitis (Pediatric):
A parent's guide to condition and treatment information

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Picture of Allergic Contact Dermatitis (Pediatric): This image displays an allergy to the nickel found in the watch case.  The result is a scaly, itchy, persistent skin rash where the watch touches the skin. Divider line
This image displays an allergy to the nickel found in the watch case. The result is a scaly, itchy, persistent skin rash where the watch touches the skin.
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Overview
Allergic contact dermatitis is an allergy to a substance (the allergen) touching the skin. The reaction occurs 48–72 hours after exposure. Common allergens are nickel, chromates, rubber chemicals, and neomycin (an antibacterial medication).
  • Nickel is found in jewelry, belt buckles, and metal closures on clothing.
  • Chromates are found in shoe leathers.
  • Rubber chemicals are found in gloves, balloons, and elastic in clothes.
  • Neomycin is common in triple-antibiotic first-aid ointments such as Neosporin® (and generic versions of Neosporin) as well as other combination preparations containing other antibacterials and corticosteroids, as well as other topical ointments, creams, and lotions. It may also be found in eye medications, eardrops, and some vaccines.
  • Common allergen-containing products include cosmetics, soaps, dyes, and jewelry.
  • The most frequent triggers are fragrance, nickel, neomycin, formaldehyde, lanolin, and other chemicals that are common in the environment.
  • Poison ivy is a frequent cause and is discussed separately.
Last Modified: 29 Jan 2008
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