ABSTRACT

PROPER AND EARLY MANAGEMENT Proper and early management of skin disorders due to environmental factors might avert the ruin of a long-anticipated trip or vacation. In some instances, the environmental exposure occurs at home before departure and then is manifested during travel to or at the destination. Such environmental exposures from contact allergens, toxins, and infections or infestations can be delayed. As a result, clinical manifestations are also delayed and may not appear until several days after the return home; hence, a history of recent travel is essential to exclude an exposure that may have occurred in the home environment. The challenge of many of the environmentally associated emergencies is to initiate therapy early, to achieve the best possible outcome, and, in some infectious complications, to be able to institute the now-delayed therapy to avoid greater increases in morbidity and mortality.