ID REACTION(Autoeczematization; Autosensitization)
DESCRIPTIONAn id reaction is an allergic response to a skin disorder of the feet, groin, or other area, producing an itching rash somewhere else in the body. Body parts with the original disorder include the groin, ears, hands, and feet; body parts with the allergic response include the hands, feet, arms, legs, or trunk.
Appropriate health care includes:
Physician's monitoring of general condition and medications.
Self-care after diagnosis.
SIGNS & SYMPTOMSItching (often severe).
Vesicles (fluid-filled, small blisters) of varying size on the skin.
Unknown. An id reaction may be a disorder of the body's immunological response to the original ailment. It occurs most often with some forms of dermatitis, outer-ear infections, and eczema of the hand or foot.
RISK FACTORSRecent skin rash anywhere.
Medical history of allergies.
PREVENTING COMPLICATIONS OR RECURRENCETreat all your child's skin disorders thoroughly until they disappear.
Your own observation of symptoms.
Medical history and physical exam by a doctor.
Laboratory culture of the original skin disorder.
POSSIBLE COMPLICATIONSAdverse reaction to medication used in treatment.
Usually curable in 2 weeks. Recurrence is rapid if treatment is discontinued before the id reaction and the original disorder are completely gone.
Treat the child's original skin disorder until it heals completely to prevent a recurrence of the id reaction. For instructions, consult your doctor or refer to the disorder in this book.
Minimize your child's stress, if possible. (See Appendix 19).
MEDICATIONYour doctor may prescribe topical or oral cortisone drugs. Oral steroids quickly control the id reaction, but they slow healing of the underlying disorder.
See Medications section for information regarding medicines your doctor may prescribe.
DIET & FLUIDS
No special diet.
OK TO GO TO SCHOOL?When appetite has returned and alertness, strength, and feeling of well-being will allow.
CALL YOUR DOCTOR IF
Your child has symptoms of an id reaction.
The following occurs during treatment:
-- Fever higher than 101F (38.3C).
-- Heat, redness, pain, or tenderness in any of the lesions. This indicates infection.
New, unexplained symptoms develop. Drugs used in treatment may produce side effects.