7/3/2023 0 Comments Orbit hair![]() The distribution of ACD is often the most important clue to the diagnosis of the disease, as it typically affects the area of greatest exposure to the offending allergen. ICD can be more dry, with fine scaling, and often more burning than itching. Although irritant contact dermatitis (ICD) is the most common form of contact dermatitis, allergic contact dermatitis (ACD) is the predominant source of eyelid dermatitis.ĬLINICAL FINDINGS The hallmark of eyelid dermatitis is an acute eruption of poorly demarcated erythema with a papulovesicular eruption and swelling accompanied by itching. Due to the greater absorption on the eyelids, they are more likely to be affected, whereas the source areas can remain disease-free. Also, eyelids are frequently touched and rubbed inadvertently by contaminated hands and fingers. There’s a relatively high level of percutaneous absorption. Eyelids are only a quarter of the thickness of the skin on the rest of the face. The eyelids are prone to contact dermatitis due to the thinness of the skin. It’s a very common problem and the commonest skin disease of the eyelids. Try antihistamines and protopic 0.1% Lichen simplex chronicus can be seen in non-atopic patients tooĮYELID DERMATITIS modified from John Kraft, MD and Charles Lynde, MD December 2008Įyelid dermatitis refers to a contact dermatitis, allergic or irritant, affecting the eyelids. SEBORRHEIC DERMATITIS: steroids, antifungals, wash face with dandruff shampooĪTOPIC DERMATITIS AND LICHEN SIMPLEX CHRONICUS: (usually an obvious atopic patient with seasonal allergies, hay fever and asthma). (No Protopic 0.1% ung until after irritation settled)Īfter the skin is clear reintroduce one product at a time q 5 days (Cosmetics from Clinique, Marcell and Almay are sometimes better tolerated in some patients than others) Avoid all makeup with shimmer/glitter (mica)Ĭortate 1% ung or Prevex HC. Shampoo: Cliniderm (*Dove shampoo has fragrance!) Wash: Dove bar, Cetaphil, CeraVe, Cliniderm Neomycin cross reacts with gentamycin, tobramycin, framycetin (soframycin), bacitracin Hair dyes: paraphenlenediamine 2-5 diaminotoluene sulfateįacial moisturizers: formaldehyde releasers, fragrances, parabens, methyldibromo glutaronitrile, iodopropynbutylcarbamateĬOMMON SKIN ALLERGENS: Nickel, Balsam of Peru, Neomycin, Fragrance, Quaternium, Cobalt, Bacitracin, Formaldehyde, Methyldibromo glutaronitrile Soaps and shampoos: cocoamindopropylbetaine (foaming agent in shampoo), fragrance, formaldehyde releasers (quaternium-15, Diazolidinyl urea pet, imidazlidinyl urea pet, 2-bromo 2 nitropropane-1,3diol, DMDM hydantoin), methylchloroisothiazolinone, methylisothiazinolone, methlisothiazinolone. If medial upper lid consdier psoriasis or lichen simplex chronicus (LSC) If limited to lid, consider irritant dermatitis. If spread behind the ear, consider seborrheic dermatitis or psoriasis. If spread beyond the lids consider allergic contact dermatitis from product applied to the face. If asymmetric lid involvement consider ectopic contact dermatitis from the hands. ![]() ![]() The product must specifically say on the label that it is fragrance free. “Hypoallergenic” and “ Sensitive skin care” do NOT mean fragrance free. The benzalkonium chloride in eye drops can irritate. **Natural and Botanical products are NOT better since they may contain fragrance Mica/shimmer makeup can irritate. Fragranced hair care products, hand and body moisturizers.īotanicals and natural products can irritate. Shampoo, soap, facial cream/lotions, makeup, makeup applicators, topical medications, nickel glasses or ringsĪnything with FRAGRANCE is an irritant. Melanie Pratt (University of Ottawa) and Dr. If you have a suspected skin allergy try the following first: Notes modified from Dr. Blepharochalasis syndrome, Melkerrson Rosenthal syndrome, and cerebrospinal fluid leak post trauma are rare causes of lid swelling. Many cases of non-infectious eyelid swelling and eyelid skin rash are from sensitivity to hair products, soaps, nail polish, cyanoacrylate glue, swim goggles or past cosmetic filler. ![]()
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