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ͻ To understand m
  

and its
management through Ayurveda.

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ͻ Contact Dermatitis is growing as a major problem
in today's industry based era
ͻ Among worker͛s compensation claims for
dermatologic conditions, 90% are for contact
dermatitis
ͻ We should approach to this problem through
Ayurvedic view
 Õ    
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 Õ

ͻ Inflammation of skin

ͻ Specific type of inflammation which manifest

clinically with itchy vesicle on an erythmatus
base and histologically characterized by
accumulation of fluid in the inter cellular space
in dermis  Õ    
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’
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 Contact
gczema
Dermatitis
Atopic
Allergic
Dermatitis
Seborhoeic

Stasis
Irritant
Dermatitis
Nummular

Lichen Siplexchronis

Pompholyx
 Õ    
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ͻ Contact dermatitis is any inflammatory reaction of
the skin that results from direct contact with an
offending agent.

ΠIrritant Contact Dermatitis (ICD)

ΠAllergic Contact Dermatitis (ACD)
 Õ    
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ͻ The main pathological feature of CD is
intercellular oedema of the epidermis

ͻ This initial reaction may result in intra epidermal

vesicle and bullae formation in acute cases and
papules, scaling, and lichenification in chronic
cases

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ͻ Irritation refers to the direct injurious action by a

substance when in contact with the skin

ͻ Resultant injury causes an inflammation, called

appropriately Irritant Contact Dermatitis

 Õ    

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 Y






ͻ Contact allergy is an action by the immune

system of the body on recognizing an allergen
that has gained entry into the skin.

ͻ Resultant inflammation is called an Allergic

Contact Dermatitis.
 Õ    
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 Y

Y 

Y

 

Chromate Cement, Tanned Leather, Primer Paint

Cobalt Ink, Metal Alloy
Colophony Glue, Adhesive Tape, Varnish
gpoxy Resin Adhesive, Plastic, Mouldings
Fragrance Cosmetics, Creams, Soaps, Detergents
Nickel Jewellary, Watch, Kitchen Instrument
Paraphenlyedmine Dye, Shoes, Colour developer
Preservative Cosmetics, Creams
¬


 

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 m


ͻ  
due to contact allergy
to Ú

in adhesive
plaster

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ͻ Dermatitis of the
  due to contact
allergy to M  in
metal watch

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 m

ͻ    
  caused
by ¬  an
antioxidant chemical
used in manufacture of
rubber gloves
ͻ Contact dermatitis from
  
in a health
care worker

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 m

ͻ Dermatitis of  due
to contact allergy with
r
mÎ a
preservative in
moisturizer

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 m

ͻ Dermatitis on [

 
 at the site of
application of Bindi
due to Ú

in sticker
Bindi

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 m

ͻ [
 dermatitis
due to rubber and
{  allergen
ͻ Contact dermatitis
with bullous
formation caused by
a new pair of shoes

 Õ    

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 Õ
 


ͻ There is no
  test for diagnosis , simple

  test is usually done.

ͻ Commonly used tests :

ŒPatch test

ŒPrick Test

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’
 
ΠDescribed 100 year ago by BARACQ
ΠApplication of suspected allergens under plaster
occlusion, usually over upper back
ΠPlaster remove after 48-72 hour
ΠSkin is examined for any sign of dermatitis
(erythema, oedema, and vesicle formation)
ΠSecond reading done after 7 days for delayed
reaction
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ΠIt detection of allergy
ΠIt consist placing the drop of allergen and
pricking the skin with sterile needle
ΠIn positive reaction erythmatious wheal
develops around the site of prick in 30
minute

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ͻ Poison admistred with Y

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etc. whichever
symptoms are occurs is consider as Contact
Dermatitis

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ͻ Poisoneous, slimy, thick or different color

oil use for Y



ͻ Produces eruptions, pain, exudation, ulcer

of skin, fever and tearing of muscle

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CD DEFGG
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ͻ Symptoms produce by poisoned material used

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and 

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 Y  etc.
ͻ Symptoms are seen as like Y

 like eruptions,
pain, exudation, ulcer of skin

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ͻ If the comb is poisoned

ͻ Symptoms are shedding of hairs, headache, bleeding

from minute channel and development of tumors in
the head

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ͻ Use of poisoned cosmetic

ͻ Give rise to black colour of face and other

symptoms mentioned under Abyanga

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ͻ When footwear is poisoned

ͻ Swelling, exudation, loss of sensation,

eruption on feet are produced

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ͻ If ornament are poisoned

ͻ Lose their shine, brightness

ͻ Damage their places by causing burning

sensation, ulceration and bruises

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ͻ It can be divided under two category

ͻ Vicharchika
Morphological
ͻ kitibha

ͻ Padukavisha
gtiological
ͻ Vastravisha etc.
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ͻ Morphological ʹ gives idea about Dhosha
involvement.

ͻ In gtiological ʹ Rules out other causes & helps

for specific medication.

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ͻ Which having blackish in colour and parusha in

sparasha is called kitibha

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ͻ Mahasugandhi Agada through drinking

ͻ gxternal application, M

 Y

   
 and

 Ú 

 should be done quickly

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ͻ Pouring of cold water then applying paste of
m 

 ¬ r
 
 

   Y     r
 made
with   

ͻ Drinking water also processed with these drugs

and used
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ͻ Application of the paste

ͻ r

    mixed with Ú

    

 ¬  and ¬
 
 or
 


 

 is beneficial

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ͻ Topical steroid cream to control inflammation

ͻ Antibiotic with steroid

ͻ Oral antihistamines

ͻ Systemic antibiotic to prevent and control

infection

 Õ    

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’
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 Õ




ͻ In ancient days visha prayoga was done
deliberately to cause death/ill health/disfigure

ͻ That's why severity is more at that time

ͻ Present ʹ to make things adoptable variety of

chemicals are used.

 Õ    

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 m
m

ͻ In Ayurvedic Literature Acharyas have given detail

description regarding CD.

ͻ The way of presentation was different at that time

ͻ Thinking logically we have to give treatment for CD.

 Õ    

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