What Is the First Treatment for Irritant Contact Dermatitis?

Irritant contact dermatitis develops when repeated or intense exposure to something such as soap, detergent, solvents, sweat, or frequent wet work damages the outer skin barrier. The skin may feel burning, stinging, dry, tight, cracked, or itchy. An emollient is a moisturising product that fills gaps in the barrier and reduces water loss. If inflammation remains strong after exposure has stopped, a clinician may prescribe a topical corticosteroid for a limited course.

Identify and avoid the suspected irritant, including products used at work or during cleaning. Wear protective gloves suited to the task, and keep wet cotton clothing away from the skin. Rinse exposed skin with lukewarm water and pat dry. Apply a plain, fragrance-free emollient often, especially after washing; ointments can be useful for very dry cracks, while creams may feel lighter during the day. Do not apply a steroid product to the face, folds, or broken skin unless a clinician has advised it.

Book an assessment if the rash persists after the suspected irritant is removed, spreads beyond the exposure area, or repeatedly returns. Seek prompt care for extensive blistering, severe pain, pus, facial swelling, breathing difficulty, or fever. A clinician may need to distinguish irritant dermatitis from allergy, infection, or another eczema pattern.

Ask which ingredient or activity is most likely responsible, how often to apply the emollient, and whether a topical corticosteroid is appropriate for the affected site. Ask how to protect your hands or other exposed areas at work.