How to treat contact dermatitis?
summary
Contact dermatitis is an inflammatory reaction of skin and mucous membrane due to contact with external substances, such as chemical fiber, clothing, cosmetics, drugs and so on. Its clinical features are sharp edge damage at the contact site, edema erythema in mild cases, papules, water pimples and even large scars in severe cases, epidermolysis and even necrosis in more severe cases. If the cause of disease can be removed as soon as possible and proper treatment can be done, it can be cured quickly, otherwise it may turn into eczema like dermatitis. How to treat contact dermatitis? Let's talk about it.
How to treat contact dermatitis?
1. Internal treatment: 1. TCM treatment: it is suitable for clearing heat, cooling blood, promoting dampness and detoxification. The prescription can be selected as follows: 1. Longdan Xiegan decoction is modified, in which bupleurum, angelica, Rhizoma Imperata, dandelion and Folium Isatidis are removed; gypsum, mulberry leaves and wild chrysanthemum are added for headache and fever; Alisma, Polyporus umbellatus and Junchen are added for damp; tangerine peel, Atractylodes lancea and malt are added for anorexia; and dried up ambassador is added Shengchuan army. ② Flavored white tiger soup. ③ Huaban Jiedu decoction.
(1) antihistamines: diphenhydramine 25-50 mg, chlorpheniramine 4-8 mg, 3-4 times a day. It can be combined with vitamin C 100-200 mg, 3-4 times a day. (2) calcium agents: oral calcium tablets, intramuscular injection of vitamin C colloidal calcium, intravenous injection of 10% calcium gluconate. (3) adrenocortical hormone: when the skin lesions are extensive and serious, prednisone 10-20mg, 3-4 times a day, orally. Or dexamethasone 10 ~ 20mg, add 5% glucose solution 500ml, intravenous drip, once a day. (4) diuretics can be used in combination with hydrochlorothiazide 25mg, 2-3 times a day for 2-3 days for patients with systemic rash and severe edema.
Third: external treatment: 1. For the rash with erosive exudate, 5% boric acid solution, 1% magnesium sulfate solution, 0.1% alum solution and aluminum acetate solution can be used as cold wet compress, and 1:5000-10000 potassium permanganate cold wet compress can be used for the concurrent infection. 2. If there is no erosion and exudation in skin examination, the above methods can be used for treatment, or calamine lotion can be applied externally.
matters needing attention
After the symptoms are relieved, Longdan Xiegan pills, Qingjie tablets, Qingre Xiaoyan tablets and Sanhuang tablets can be taken as appropriate.
