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T O P I C R E V I E W
Jen
Posted - Jan 30 2008 : 8:19:42 PM Poison ivy is most dangerous in the spring and summer, when there is plenty of sap, the urushiol (itchy goo) content is high, and the plants are easily bruised. However, the danger doesn't disappear over the winter. Dormant plants can still cause reactions, and cases have been reported in people who used the twigs of the plant for firewood or the vines for Christmas wreaths. Even dead plants can cause a reaction, because urushiol remains active for several years after the plant dies!
What to Do?
Because urushiol can penetrate the skin within minutes, there's no time to waste if you know you've been exposed. "The earlier you cleanse the skin, the greater the chance that you can remove the urushiol before it gets attached to the skin," says Hon-Sum Ko, M.D., an allergist and immunologist with FDA's Center for Drug Evaluation and Research. Cleansing may not stop the initial outbreak of the rash if more than 10 minutes has elapsed, but it can help prevent further spread.
If you've been exposed to poison ivy, oak or sumac, if possible, stay outdoors until you complete the first two steps:
* First, Epstein says, cleanse exposed skin with generous amounts of isopropyl (rubbing) alcohol. (Don't return to the woods or yard the same day. Alcohol removes your skin's protection along with the urushiol and any new contact will cause the urushiol to penetrate twice as fast.) * Second, wash skin with water. (Water temperature does not matter; if you're outside, it's likely only cold water will be available.) * Third, take a regular shower with soap and warm water. Do not use soap before this point because "soap will tend to pick up some of the urushiol from the surface of the skin and move it around," says Epstein. * Clothes, shoes, tools, and anything else that may have been in contact with the urushiol should be wiped off with alcohol and water. Be sure to wear gloves or otherwise cover your hands while doing this and then discard the hand covering.