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Fiddler's neck - It is seen in violinists due to non-eczematous irritant contact. Lichenification and hyperpigmentation can be seen. It is different from classical irritant contact dermatitis because the etiology is multifactorial : friction (leading to lichenification), local pressure, shearing stress and occlusion.
Contact dermatitis is a type of acute or chronic inflammation of the skin caused by exposure to chemical or physical agents. [1] Symptoms of contact dermatitis can include itchy or dry skin, a red rash, bumps, blisters, or swelling. These rashes are not contagious or life-threatening, but can be very uncomfortable.
Patch test. Cutaneous disorders in musicians include frictional injury ("fiddler's neck"), hyperhidrosis, acne mechanica and vascular compromise. Other agents of irritant and allergic contact dermatitis may be rosewood, Makassar ebony, cocobolo wood, African blackwood, nickel, reed, propolis (bee glue), chromium and paraphenylenediamine.
Allergic contact dermatitis (ACD) is a form of contact dermatitis that is the manifestation of an allergic response caused by contact with a substance; the other type being irritant contact dermatitis (ICD). Although less common than ICD, ACD is accepted to be the most prevalent form of immunotoxicity found in humans. [1]
Seborrheic dermatitis [1] The Casal collar or Casal necklace is a medical sign in which there is a redness and darkening of the skin around the neck, seen in people with pellagra . [ 2 ] It becomes prominent following exposure to sun, and can be itchy with a burning feeling and pain. [ 1 ]
The main treatment for it is avoiding contact with nickel-releasing metals, such as inexpensive jewelry. Another form of nickel allergy is a systemic form: systemic nickel allergy syndrome ( SNAS ) can mimic some of the symptoms of irritable bowel syndrome (IBS) and also has a dermatologic component.
Prevention of contact dermatitis can be made possible by avoiding substances that one is allergic to, such as by switching to a glove made using an alternative material if one has latex allergy. Topical moisturizing products which contain emollients and humectants repair the skin barrier and retain adequate moisture.
Nickel is the most common contact allergen worldwide (of people with contact dermatitis, 11.4% in Europe, 8.8–25.7% in China, and 17.5% in North America are allergic to nickel). [1] Nickel allergy, and contact allergies more generally, can develop when people are any age, but they are most likely to develop in early adulthood.
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