| In patients with contact dermatitis, the priority is to identify and avoid the causative substance. | C | 3 |
| Localized acute allergic contact dermatitis lesions are successfully treated with mid- or high-potency topical steroids, such as triamcinolone 0.1% (Kenalog, Aristocort) or clobetasol 0.05% (Temovate). | C | 4 |
| On areas with thinner skin (e.g., flexural surfaces, eyelids, face, anogenital region), lower-potency steroids, such as desonide ointment (Desowen), can be helpful and minimize the risk of skin atrophy. | C | 4 |
| If allergic contact dermatitis involves extensive areas of the skin (greater than 20 percent), systemic steroid therapy is often required and offers relief within 12 to 24 hours. | C | 4 |
