1 of 2021 as amended | |
2 of 2021 as amended |
SOP Bulletin 218 [2]
SOP Bulletin 232 [3]
A contact dermatitis occurs when an agent comes into direct contact with the skin and the skin responds at that site of contact with local inflammation.
In allergic contact dermatitis, the inflammation is an allergic response to an agent to which the individual has previously been sensitised. The earlier exposure does not need to be topical. Subsequent topical exposures to the same allergen will produce an allergic response at the site of skin contact.
The diagnosis of allergic contact dermatitis is based upon:
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
* another SOP applies
# non-SOP condition
Clinical onset will be when the localised skin inflammation, subsequently confirmed to be due to allergic contact dermatitis, first manifest.
The only SOP worsening factor is for inability to obtain appropriate clinical management. If untreated the condition can evolve from an acute form to a subacute and then chronic eczematous dermatitis. The mainstays of treatment are avoidance of the allergen and topical corticosteroids to the affected site.
For this condition, on cessation of service, there will still be a potential residual link to service for ongoing or recurrent allergic contact dermatitis, if clinical onset occurred during service, for the same allergen as is causative for the post service condition, or if the initial sensitising exposure can be related to service.
Place holder node for Rulebase for contact dermatitis
Contact dermatitis - Direct cutaneous exposure to an irritant Factor
Last reviewed for CCPS 26 August 2004.
Investigative Documents
Claimant Report - Exposure to an Irritant or Allergen - Contact Dermatitis [CR9048] [5] Medical Report - Exposure to Irritant or Allergen - Contact Dermatitis [MR9139] Preliminary questions [12260] 24864 — the veteran has had direct cutaneous exposure to an irritant at some time. 24865 — the veteran has had direct cutaneous exposure of the affected area to an irritant at some time. [Default true] 12264 — the veteran has established the causal connection between the direct cutaneous exposure and VEA service for contact dermatitis. 24866 — the veteran has established the causal connection between the direct cutaneous exposure and VEA service for the clinical onset of contact dermatitis. 24868 — the veteran has established the causal connection between the direct cutaneous exposure and operational service for the clinical onset of contact dermatitis. or 24869 — the veteran has established the causal connection between the direct cutaneous exposure and eligible service for the clinical onset of contact dermatitis. or 24867 — the veteran has established the causal connection between the direct cutaneous exposure and VEA service for the clinical worsening of contact dermatitis. 24870 — the veteran has established the causal connection between the direct cutaneous exposure and operational service for the clinical worsening of contact dermatitis. or 24871 — the veteran has established the causal connection between the direct cutaneous exposure and eligible service for the clinical worsening of contact dermatitis. Clinical onset and operational service [24868] Clinical onset and eligible service [24869] Clinical worsening and operational service [24870] Clinical worsening and eligible service [24871]
Contact dermatitis - Exposure to an allergen responsible for contact dermatitis Factor
Last reviewed for CCPS 26 August 2004.
Investigative Documents
Claimant Report - Exposure to an Irritant or Allergen - Contact Dermatitis [CR9048] [5] Medical Report - Exposure to Irritant or Allergen - Contact Dermatitis [MR9139] Preliminary questions [12261]
12276 — the veteran has established the causal connection between the exposure to the allergen responsible for the contact dermatitis and VEA service for the clinical onset of contact dermatitis.
12277 — the veteran has established the causal connection between the exposure to the allergen responsible for the contact dermatitis and operational service for the clinical onset of contact dermatitis.
or
12278 — the veteran has established the causal connection between the exposure to the allergen responsible for the contact dermatitis and eligible service for the clinical onset of contact dermatitis.
Clinical onset and operational service [12277]
12556 [20] on operational service, the veteran was exposed to the allergen responsible for the contact dermatitis before the clinical onset of contact dermatitis. before the clinical onset of contact dermatitis, the veteran had exposure on operational service, as a causal result of operational service duties, to the allergen responsible for the contact dermatitis. the exposure to the allergen on operational service responsible for the contact dermatitis, before the clinical onset of contact dermatitis was due to the veteran's serious default, wilful act or serious breach of discipline. Clinical onset and eligible service [12278]
Contact dermatitis - Inability to obtain appropriate clinical management for contact dermatitis Factor
Last reviewed for CCPS 26 August 2004.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [12263]
12286 [6] the clinical onset of contact dermatitis occurred after the end of the veteran's last period of VEA service. the veteran's contact dermatitis permanently worsened. the veteran was unable to obtain appropriate clinical management for contact dermatitis at some time.
12302 [26] the inability to obtain appropriate clinical management for contact dermatitis contributed to the clinical worsening of the veteran's contact dermatitis. 12304 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for contact dermatitis and VEA service for the clinical worsening of contact dermatitis. 12305 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for contact dermatitis and operational service for the clinical worsening of contact dermatitis. or 12306 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for contact dermatitis and eligible service for the clinical worsening of contact dermatitis. Clinical worsening and operational service [12305] or 12313 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for contact dermatitis is causally related to operational service. [30] [31] Clinical worsening and eligible service [12306] or 12314 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for contact dermatitis is causally related to eligible service. [30] [31]
Contact dermatitis - Re-exposure to an allergen responsible for contact dermatitis Factor
Last reviewed for CCPS 26 August 2004.
Investigative Documents
Claimant Report - Exposure to an Irritant or Allergen - Contact Dermatitis [CR9048] [5] Medical Report - Exposure to Irritant or Allergen - Contact Dermatitis [MR9139] Preliminary questions [12262] 12288 — the veteran has established the causal connection between the re-exposure to an allergen responsible for contact dermatitis and VEA service for the clinical worsening of contact dermatitis. 12289 — the veteran has established the causal connection between the re-exposure to an allergen responsible for contact dermatitis and operational service for the clinical worsening of contact dermatitis. or 12290 — the veteran has established the causal connection between the re-exposure to an allergen responsible for contact dermatitis and eligible service for the clinical worsening of contact dermatitis. Clinical worsening and operational service [12289] Clinical worsening and eligible service [12290]
Links
[1] http://www.rma.gov.au/sops/condition/allergic-contact-dermatitis
[2] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20218.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20232.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63238%23comment-form
[5] https://clik.dva.gov.au/ccpsclaimant-75
[6] https://clik.dva.gov.au/node/72570
[7] clikpopup://CCPS/Reject/OnsetAfterService
[8] clikpopup://CCPS/Reject/NoPermanentWorsening
[9] clikpopup://CCPS/reject24872No
[10] clikpopup://CCPS/reject24930No
[11] clikpopup://CCPS/rejectwilful
[12] clikpopup://CCPS/reject24874No
[13] clikpopup://CCPS/reject24875No
[14] clikpopup://CCPS/reject24877No
[15] clikpopup://CCPS/reject24878No
[16] clikpopup://CCPS/reject24880No
[17] clikpopup://CCPS/reject24881No
[18] clikpopup://CCPS/Contact dermatitis is allergic contact dermatitis
[19] clikpopup://CCPS/reject24883No
[20] clikpopup://CCPS/Allergen before onset of contact dermatitis on operational service
[21] clikpopup://CCPS/reject12556No
[22] clikpopup://CCPS/reject24931No
[23] clikpopup://CCPS/reject12281No
[24] clikpopup://CCPS/reject12283No
[25] https://clik.dva.gov.au/ccpsother-31
[26] clikpopup://CCPS/Contact dermatitis/ACM - contributed to worsening
[27] clikpopup://CCPS/ACM/NoContribution
[28] clikpopup://CCPS/ACM/NotOpService
[29] clikpopup://CCPS/ACM/NotOperDuties
[30] clikpopup://CCPS/ACM/NoIllness
[31] clikpopup://CCPS/reject12313,12314No
[32] clikpopup://CCPS/Contact dermatitis/ACM - onset prior to operational service
[33] clikpopup://CCPS/ACM/OnsetFailOper
[34] clikpopup://CCPS/ACM/NotEligService
[35] clikpopup://CCPS/ACM/NotEligDuties
[36] clikpopup://CCPS/Contact dermatitis/ACM - onset prior to eligible service
[37] clikpopup://CCPS/ACM/OnsetFailElig
[38] clikpopup://CCPS/reject12294No
[39] clikpopup://CCPS/reject12298No
[40] clikpopup://CCPS/reject24932No
[41] clikpopup://CCPS/reject12295No
[42] clikpopup://CCPS/reject12299No