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Contact dermatitis

A rash where skin meets an irritant or allergen. Settles once the trigger is found.

In short

Contact dermatitis is a rash caused by skin contact with an irritant or allergen. It settles once the trigger is identified and avoided, with emollients and steroid creams to calm flares. A GP can help find the cause.

Overview

What is contact dermatitis?

Contact dermatitis is inflammation of the skin caused by contact with a substance, either an irritant (soaps, detergents, chemicals) or an allergen (nickel, fragrances, rubber). It causes an itchy, red, sometimes blistering rash, often in the shape of the contact. Identifying and avoiding the trigger is central to treatment.

Symptoms

Common symptoms

  • Red, itchy, or sore skin where something has touched it
  • Dry, cracked, or scaly patches
  • Blistering or weeping in more severe reactions
  • A rash in the shape of the contact (e.g. under jewellery or a watch)
  • Burning or stinging

When to act

When to see a doctor

Book a GP if a rash keeps appearing, isn't settling with moisturisers, is affecting your hands or work, or you can't identify the cause. Seek urgent help for widespread blistering or signs of infection.

When to seek urgent help

Seek urgent help if

  • Widespread blistering, swelling, or a rapidly spreading rash
  • A rash with fever or signs of infection (weeping, golden crust, spreading redness)
  • Facial or eyelid swelling (if severe or with breathing symptoms, call 999)

Call 999 for life-threatening emergencies or NHS 111 for urgent non-emergency advice.

Treatment

How a private GP can help

  • Assessment to identify the likely irritant or allergen
  • Advice on avoiding the trigger, the key to clearing it
  • Emollients to repair the skin barrier
  • Prescription of a topical steroid of appropriate strength for flares
  • Guidance on hand care for work-related dermatitis
  • Referral for patch testing where an allergy needs identifying

What we don't do

  • Patch testing for contact allergies (referred to dermatology)
  • Occupational-health assessments

Pricing

What it costs

An online consultation about contact dermatitis starts at £79 for a 20-minute video appointment. In-pharmacy consultations are £129 and home visits are £189. Your consultation includes one private prescription if appropriate, and a sick note for work if needed. You pay the pharmacy separately for any medication.

See full pricing breakdown

FAQ

Common questions about contact dermatitis

What's the difference between irritant and allergic contact dermatitis?
Irritant dermatitis is direct damage from things like soaps, water, or chemicals. Allergic dermatitis is an immune reaction to a specific allergen (such as nickel or fragrance). Both are managed by avoiding the trigger and calming the skin.
How do I find the trigger?
Often the pattern and location give it away. For persistent or unclear cases, patch testing (via dermatology) can pinpoint an allergy.
Will it keep coming back?
Only if you keep meeting the trigger. Once identified and avoided, the skin usually settles and stays clear.
Is it the same as eczema?
Contact dermatitis is a type of eczema caused by contact with something. Atopic eczema is the constitutional, often inherited type. The treatments overlap.

Ready to talk to a GP about contact dermatitis?

Message Emily on WhatsApp or book online in under 90 seconds. UK-registered doctors, available today.

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