From the Guidelines
To treat axillary cysts caused by irritant contact dermatitis, first identify and eliminate the irritant causing the reaction, such as deodorants, antiperspirants, or fragranced products, as the management of irritant contact dermatitis principally involves the protection of the skin from irritants 1. The most common irritants are soaps and detergents, although water itself is also an irritant.
- The principles of management involve avoidance, protection, and substitution, as follows:
- Avoid exposure to known irritants
- Protect the skin with hypoallergenic alternatives and breathable clothing
- Substitute harsh soaps with mild, fragrance-free soap and water For immediate relief, apply cool compresses to the affected area for 10-15 minutes several times daily to reduce inflammation and discomfort.
- Use over-the-counter hydrocortisone cream (1%) two to three times daily for up to one week to reduce inflammation and itching, as topical corticosteroids are widely accepted as the treatment of established contact dermatitis 1. Keep the area clean by washing gently with mild, fragrance-free soap and water, then pat dry thoroughly.
- For larger or more painful cysts, a healthcare provider may recommend prescription-strength topical corticosteroids like triamcinolone 0.1% cream, or they might drain the cyst if necessary. Oral antihistamines like cetirizine (10mg daily) or diphenhydramine (25mg every 6 hours) can help manage itching.
- If the cysts become infected, showing signs of increased redness, warmth, pain, or pus, seek medical attention as antibiotics may be needed, and visiting the workplace may be essential in the effective treatment and prevention of contact dermatitis 1. These treatments work by reducing inflammation, which is the body's response to irritants that damages skin cells and leads to fluid accumulation forming cysts.
- Contact dermatitis may be classified into different reaction types, including subjective irritancy, acute irritant contact dermatitis, and chronic (cumulative) irritant contact dermatitis 1.
From the FDA Drug Label
Uses temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: eczema psoriasis poison ivy, oak, sumac insect bites detergents jewelry cosmetics soaps seborrheic dermatitis Directions for itching of skin irritation, inflammation, and rashes: adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times daily
The treatment for axillary cysts caused by irritant contact dermatitis is not directly addressed in the provided drug labels. However, hydrocortisone (TOP) can be used to temporarily relieve itching associated with minor skin irritations and inflammation.
- For itching of skin irritation, inflammation, and rashes, apply hydrocortisone (TOP) to the affected area not more than 3 to 4 times daily for adults and children 2 years of age and older 2 2. It is essential to note that axillary cysts are not explicitly mentioned in the provided drug labels, and the treatment of cysts may require a different approach than relieving itching associated with skin irritations.
From the Research
Treatment of Axillary Cysts Caused by Irritant Contact Dermatitis
- The first step in treating axillary cysts caused by irritant contact dermatitis is to avoid the causative substance 3.
- Topical corticosteroids may be used to reduce inflammation, but their efficacy in irritant contact dermatitis is controversial 4.
- Emollients and antihistamines may also be used to restore the skin barrier and reduce skin inflammation 5.
- In severe cases, systemic corticosteroids may be required, but their use should be tapered over time to avoid rebound dermatitis 6.
Diagnosis and Management
- A complete medical history, including occupational history, is important in diagnosing contact dermatitis 5.
- Patch testing and other diagnostic tests, such as photopatch test and skin tests, can help identify the causative allergens 5, 3.
- Avoiding the suspected irritants or allergens and promoting the metabolism and expulsion of absorbed allergens is crucial in managing contact dermatitis 5.
Specific Considerations for Axillary Contact Dermatitis
- Axillary contact dermatitis can be caused by a variety of irritants and allergens, including deodorants, antiperspirants, detergents, soaps, and clothing 3.
- Fragrance, metals, and dyes are common causes of contact dermatitis in the axillary region 3.
- Clinical assessment, bedside diagnostic techniques, histopathology, and patch testing can aid in the diagnosis and management of axillary contact dermatitis 3.