ABSTRACT

Irritation, or irritant dermatitis, previously considered a monomorphous

process, is now understood to be a complex biologic syndrome, with a diverse

pathophysiology, natural history, and clinical appearance. Thus, the clinical

appearance of irritant contact dermatitis varies depending on multiple external

and internal factors. The exact mechanisms of irritant action are incompletely

understood, but it seems likely that there is an immunologic-like component

to the irritant response. The actual types, with reference to major characteristics

in the clinical appearance, are listed in Table 11.1.