POISON IVY / POISON OAK
Poison Ivy (Spring) Poison Ivy (Fall) Poison OakPoison Ivy and Poison Oak both produce a highly toxic, thick honey-like syrup that can cause severe skin irritation. If you've ever eaten biscuits and honey, you know how you can sometimes end up with sticky spots in unexpected places that you may have inadvertently touched while there was honey on your fingers. Poison ivy toxin (urushiol) gets spread around in the same way; so anywhere you touch may become "contaminated" including your arms, face, eyelids, even a man's penis if he happens to touch it while the toxin is on his fingers. You can also be exposed by:
- Breathing smoke from burning poison ivy plants
- Weed-whacking poison ivy
- Touching the cut stems or vines of poison ivy
- Picking up piles of cut weeds that contain poison ivy
The first signs of skin irritation often appear in only hours, first on the more sensitive areas of skin and where the heaviest concentrations of toxin were deposited; but over the next few days many other areas of increasingly severe skin irritation may appear elsewhere on the body. This is not because the poison ivy/oak is "spreading".
A popular misconception is that poison ivy is spread by contact with the fluid from the blisters, but that is incorrect. The blisters contain only body fluid (the same kind of fluid that fills a simple blister on your heel); so this fluid cannot "spread" anything. The reason poison ivy eruptions seem to appear in crops over several days is that some areas of skin were more severely exposed than others; and those are the areas that erupt first, followed sometimes days later by eruptions in areas that were only lightly exposed to the toxin.
In addition to the local damaging effects of the urushiol, some people may actually develop an allergy to the toxin (the same way they might become allergic to strawberries or shellfish), and they can develop a secondary allergic rash over large areas of their body, even on areas which were never even exposed directly to the poison ivy.WHEN EXPOSURE TO POISON IVY/OAK IS A POSSIBILITY:
- Wear long pants, long sleeves, socks, shoes, and gloves. Avoid touching any uncovered parts of your body with your hands (wiping off sweat, etc.)
- As soon as you can, go into your laundry room and strip of all clothes including your underwear, put everything including tennis shoes into the washer, add soap, and start the cycle. Then...
- Take a hot shower with soap and water. This will remove any remaining toxin from the surface of your skin and prevent any further exposure.
IMPORTANT POINTS TO REMEMBER:
- Don't make the mistake of removing your clothes in the bathroom, taking a shower, and then handling your clothes again. This would re-contaminate your skin with the toxin, and it would remain there for the next 24 hours, doing more of its dirty work until your next shower.
- Be aware that pets can pick up the toxin on their fur if they run through poison ivy; so you might want to consider a bath for them as well.
IF A RASH BEGINS TO APPEAR:
The first thing to try is an over-the-counter medication called Zanfel, a topical treatment that removes urushiol from the upper (dermal) skin layer, thereby relieving the itching and rash associated with an outbreak of poison ivy. Most patients experience relief within 30 seconds of application, and the rash will begin to subside within hours. (See the Zanfel website for more information).
- If you do not experience significant relief within an hour or two, call our office immediately because there are a variety of treatments we can use to minimize the itching and further spread of the eruptions. Don't wait to see "how bad it's going to get" before calling because your recovery time is going to be prolonged depending on how severe you allow the rash to become before effective medical treatment is started.
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