Kontakt Dermatit

immunoloji alerji ozel 13-2 kapak

Songül ÇİLDAĞa
aAydın Adnan Menderes Üniversitesi Tıp Fakültesi, İmmünoloji ve Alerji Hastalıkları BD, Aydın, TÜRKİYE

Çildağ S. Kontakt dermatit. Çildağ S, editör. İmmünolojik ve Alerjik Deri Hastalıkları. 1. Baskı. Ankara: Türkiye Klinikleri; 2020. p.40- 4.

ÖZET
Kontakt dermatit; oluş mekanizmasına göre alerjik ve irritan kontakt dermatit olarak ikiye ayrılır. Alerjik kontakt dermatit, Tip4 aşırı duyarlılık reaksiyonu sonucunda oluşurken, irritan kontakt dermatit, kimyasal-ların deriye toksik etkisiyle oluşan nonspesifik bir inflamatuar reaksiyondur. Her iki tip kontakt dermatit benzer klinik özelliklere sahip olsa da patofizyolojik özellikleri farklıdır. Kontakt dermatit tanısında ay-rıntılı sorgulama ve fizik muayene yapılmalı, alerjik kontakt dermatit için altın standart olan deri yama testleri uygulanmalıdır. Tedavide öncelikle alerjen veya irritan madde tespit edilmeli ve etkenin uzak-laştırılması gerekmektedir. Etkenin uzaklaştı rılmasın ın mümkün olmadığı durumlarda koruyucu ön-lemler alınmalıdır. Semptomatik tedavide ilk seçenek ilaçlar topikal kortikosteroidlerdir.

Anahtar Kelimeler: Alerjik kontakt dermatit; irritan dermatit; temas dermatiti

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