What is the first consideration in the management of acute irritant contact dermatitis?

• A. Oral nonsteroidal anti-inflammatory drugs
• B. Potassium permanganate compresses
• C. Burow's solution compresses
• D. Separation of the patient from the sensitizing agent

Answer: (D)

Stopping ongoing injury is the first move. In acute irritant contact dermatitis, the skin is damaged by a harmful substance directly, so as long as that irritant remains in contact, inflammation and tissue damage continue. The immediate priority is to separate the patient from the offending agent and remove any residual exposure, allowing the skin to begin healing. After exposure is halted, supportive care like gentle cleansing and moisturizers to restore the barrier helps, and additional measures (such as Burow's solution for inflammation or weeping) can be used as needed. Oral NSAIDs may ease discomfort but do not address the underlying cause, so they’re not the first step.