University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Family Practice


Dr. June Sullivan


Each year millions of Americans seek medical treatment for Toxicodendron dermatitis (TD). The severity of symptoms varies from a mild nuisance to an extreme burden forcing people to leave their careers to avoid repeat exposure. A lack of clinical practice guidelines (CPG) regarding the best management of TD forces clinicians to choose treatment plans based on their personal practice experience. Topical, oral, and intramuscular corticosteroids are some of the most commonly prescribed medications in the management of TD. However, there is a great diversity in the duration, frequency, dosage, and route for which they are prescribed from provider to provider. This article discusses the findings of a literature review on the comparison between oral and intramuscular corticosteroid use, with or without topical corticosteroid use, in the management of moderate to severe TD.


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