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Airborne contact dermatitis (ABCD) is a morphological diagnosis that encompasses all acute or chronic dermatoses predominantly of exposed parts of body, which are caused by substances which when released into the air, settle on the exposed skin. Although the diagnosis of ABCD is not difficult for the trained eye, finding the causative contactant and the treatment of the resultant clinical condition may prove to be a challenge for the treating dermatologist. Contact dermatitis is designated as “airborne” on the basis of the history of the patient and the follow-up, existence of dust or of volatile causative agents, the morphology and distribution of the lesions and the results of epicutaneous tests.
Signs and symptoms of contact dermatitis vary widely and may include:
The common allergens and irritants which have been demonstrated to produce an airborne dermatitis like picture are listed in Table 1.[1,20–32] These include various acids and alkalis, metals and powders of metallic salts, cement, industrial solvents, glass fibers, sewage sludge, ammonia, vegetable and wood allergens, plastics, rubbers and glues, insecticides, pesticides, animal feed additives and many others. The airborne contactants can also be classified on the basis of their physical state as volatile airborne contactants like acids, alkalis, ammonia and pesticides; droplets like insecticides, perfumes and hair sprays; powders which include aluminum, anhydrous calcium silicate, and metallic oxides; and particles like tree sawing particles, wool and plastics.
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