Management

If exposure does occur, the oil should be washed off as soon as possible (within 10 minutes), and any clothing that could have contacted the plant should be removed and washed. Treating contact dermatitis depends largely on the severity of the exposure. Often the dermatitis is mild enough to be treated with an ice pack for pain relief or cool oatmeal baths if the exposure is more widespread. If the dermatitis is more severe, but localized, aluminum acetate compresses can be used (1:40 dilution) or topical steroids, and systemic antihistamines can be used to control severe itching. Milder treatments should be used on sensitive areas (face and genitals). If the dermatitis is severe, oral corticosteroids, such as prednisone, can be used in decreasing dosage over six days, starting between 40 and 60 mg, however as the severity increases, so too should the duration of treatment. With very severe cases, the dosage should be tapered over at least 10 to 14 days to prevent relapse (34,36).

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