Contact dermatitis is a type of eczema which is triggered when the skin makes contact with a particular substance. This type of skin condition can cause the skin to become dry, red and irritated.
There are two types of contact dermatitis: Irritant and Allergic contact dermatitis. These types of eczema can develop after something damages the skin. Irritant contact dermatitis can start after touching a strong irritant one time or by coming into contact with the irritating substance repeatedly. Allergic contact dermatitis happens after a person exposed to an allergy-triggering substance, such as: Nickel, Cosmetics, Poison ivy.
In many cases, contact dermatitis will improve or even clear up completely, if the substance causing the problem is successfully identified and can be avoided. However, in some cases, where skin contact with a particular substance cannot be avoided and is perhaps part of someone’s daily activities (hairdressers using water for example). Most cases of contact dermatitis go away on their own once the substance is no longer in contact with the skin. Therefore, identify substances that may be causing your skin rash is as important as a course of medical treatment.
At The London Cosmetic Clinic in Harley Street, we offer investigative patch testing as well as topical and systemic treatments for contact dermatitis, using clinically-proven methods and medications.
When it is not known what substance is causing your contact dermatitis, a patch test can be carried out to identify what is causing the issue. During a patch test here at The London Cosmetic Clinic, tiny amounts of known allergens will be applied carefully, to your skin. These substances are attached, usually to your back or upper arms, using a type of non-allergenic tape. After 2 days, the patches will be removed and your skin is assessed, so we can determine what has been causing your contact dermatitis.
The chemicals included in the patch test kit are the offenders in approximately 85–90 per cent of contact allergic eczema and include chemicals present in metals ( e.g., nickel), rubber, leather, formaldehyde, lanolin, fragrance, toiletries, hair dyes, medicine, pharmaceutical items, food, drink, preservative, and other additives.
A negative test result is common: as many as 6 of every 10 people who have a patch test have negative results. Negative results, however, are still important because they will help our expert patch testers to treat your skin condition correctly so that it can begin to heal.
It is crucial that you avoid applying steroid/cortisone creams to your back or upper arms within one week prior to patch testing. All topical products, including Vaseline, lotions, creams, and ointments, should be avoided 24 hours before patches are applied.
Antihistamines such as Benadryl, Claritin, Zyrtec or Allegra do not interfere with patch testing and therefore can be continued.
The patch testing procedure is simple and painless. It does not involve scratches or pricks to the skin. In order to identify specific triggers, your doctor will tape several patches that contain various potential chemicals to the skin on the back. These chemicals are then left on the skin for 48 hours and must remain dry during this time.
You will leave the patches on your skin for 48 hours.
If your skin reacts during this time, it may feel itchy or sore. Despite this, it is essential to keep the patches on your skin so that you can get accurate results. If you remove the patches, loosen them, or get them wet, you are likely to get inaccurate results. In order to prevent false test results, during the entire testing period you should not allow the sun or ultraviolet light to shine on it.
Showering, bathing, or swimming is NOT allowed. Too much sweat or water will lift up the patches and make them loose contact with the skin, which will make the test useless.
For the first 2 days when the patches are on your back, please do not shower. Gentle washing or sponge bath below the waist is permitted provided that the patches are kept dry.
Itching and burning are common side effects. Try not to scratch at the test sites, because itching is usually a sign of a positive reaction and scratching the affected site can alter the results. If you get a strong reaction with intense itching, burning, redness or pain, contact our clinic immediately.
The patches are typically placed on the back, left on for 2 days. Day 3: You will return to our clinic to have the patches removed and have the skin marked with a marker. Any reactions will be noted. The area of skin that was tested will then be evaluated again by our dermatologist 2 to 4 days after the patches are removed.
The best way to treat contact dermatitis is to avoid what’s causing it. If you can avoid the cause, the rash and symptoms will go away. Once you know what’s causing your contact dermatitis, learning what to avoid can be straightforward. Other times, avoiding what causes your contact dermatitis can be more difficult. For example, if you’re allergic to nickel, hundreds of things that touch your skin could cause a rash. Everyday objects that may contain nickel include cell phones, buttons and zippers on clothing, and jewelry.
Our dermatologist can help you develop a realistic plan for avoiding what causes your rash. Learning what to do may take time. Taking the time to learn what can cause your rash will help you feel more comfortable and develop fewer rashes.
Because so many things can irritate the skin or cause an allergic reaction, it is not always possible to find the cause. To complicate matters, some people develop allergies to many different things. When this happens, treatment can help.
In addition, our dermatologist may prescribe a topical corticosteroid (a cream or ointment applied directly to your skin) that can quickly reduce the inflammation in your treatment plan.
We offer a range of topical treatments to treat your contact dermatitis, here at The London Cosmetic Clinic. Topical corticosteroids (more commonly referred to as steroid creams which are stronger than over the counter options) are typically the first-line treatment for contact dermatitis to relieve your discomfort and help clear the rash. They can help reduce itching and irritation and work very quickly.
Very rarely, in case your condition is severe or other treatment plans have not worked, you may be prescribed systemic treatments by our specialists. Systemic treatments work throughout the entire body, therefore, they can be highly effective in treating inflammatory conditions. However, they all have benefits and risks with potentially side effects.
We will continually monitor your progress throughout any treatment plan, so that we can ensure that the course of treatment is suitable and effective for your individual needs and requirements.
Before a treatment for any skin condition can commence, here at The London Cosmetic Clinic, we will request that you attend a no obligation consultation, skin analysis and medical history check, so that we can determine which treatments will be both suitable and safe for your individual skin concerns, lifestyle, and general health.
Incredibly happy with my gummy smile fix. It was my first time getting a cosmetic procedure and the LCC made me feel incredibly comfortable. Thank-you to Dr Johnson who walked me through the procedure ( which was incredibly fast and pain free!) and a massive thank you to Rahena! Your customer service was exceptional and made me feel really assured and comfortable. Will definitely be recommending the LCC to everyone. Incredibly professional and well priced clinic. I can already see a difference in my smile!
I'm so pleased I found The London Cosmetic Clinic. Dr Johnson was incredibly informative and professional and I've seen a difference after only one treatment! Big thank you to Rahena too who was super helpful and helped put my fears to ease!
I came in to enquire about Botox, I spoke to Rahena who gave me so much information.
Dr. Salinda Johnson and her team are excellent and highly accomplished. She maintains the highest standards in aesthetic treatments and techniques, and consequently I trust her completely and know that she will always offer the best advice, and provide the most appropriate treatments. Her expertise is admirable.
The team are friendly, efficient and helpful and always put patients at ease
Practitioners of Aesthetic Dermatology In London abound , but The London Cosmetic Clinic has the expertise and patient care which puts it top of the list
Excellent standard of care. Staff very amicable. Very pleased with results.
Great location, service and result of the treatment. Highly recommended.
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