Poison Ivy
 

1. Where is poison ivy, poison oak and poison sumac found?
Poison ivy, poison oak and poison sumac grow practically everywhere in the United States, except Hawaii, Alaska and some desert areas of Nevada. They are the most common causes of allergic reactions in the United States.

2. What causes the poison ivy rash?
Poison ivy rash is really an allergic contact dermatitis caused by a substance called urushiol, found in the sap of poison ivy, poison oak and poison sumac. Urushiol is a colorless or slightly yellow oil that oozes from any cut, or crushed part of the plant, including the stem and the leaves. You may develop a rash without ever coming into contact with poison ivy, because the urushiol is so easily spread. Sticky, and virtually invisible, it can be carried on the fur of animals, on garden tools, or on any objects that have come into contact with a crushed or broken plant. After exposure to air, urushiol turns brownish-black, making it easier to spot. Once it touches the skin, the urushiol begins to penetrate in a matter of minutes. It can be neutralized to an inactive state by water.

3. How does the poison ivy rash develop?
In those who are sensitive, a reaction will appear in the form of a line or streak of rash within 12 - 48 hours. Redness and swelling will be followed by blisters and severe itching. In a few days, the blisters become crusted and begin to scale. The rash will usually take about ten days to heal, sometimes leaving small spots, especially noticeable in dark skin. The rash can affect almost any part of the body, especially areas where the skin is thin; the soles of the feet and palms of the hands are thicker and less susceptible.

4. Who is sensitive to poison ivy?
We are not born with sensitivity to poison ivy. It develops only after several encounters with the plants, and sometimes over many years. Studies have shown that approximately 85 percent of the population will develop an allergic reaction if exposed to poison ivy. Although they are not sure why, scientists believe that an individual's sensitivity to poison ivy changes with time and tends to decline with age. The first bout of poison ivy usually occurs in children between the ages of 8 and 16, and can be quite severe. Investigators have found that people who reach adulthood without becoming sensitized have only a 50 percent chance of developing an allergy to poison ivy.

5. What do poison ivy, poison oak and poison sumac look like?
The popular saying "leaves of three, let them be," is a good rule of thumb, but it's only partially correct. Poison ivy or poison oak will take on a different appearance depending on the environment. The leaves may vary from groups of three, to groups of five, seven, or even nine. The plants grow near streams and lakes, and wherever there are warm, humid summers. Poison ivy grows as a low shrub, vine or climbing vine. It has yellow-green flowers and white berries. Poison oak is a low shrub or small tree with clusters of yellow berries and the oak-like leaves. Poison sumac grows to a tall, rangy shrub producing 7-13 smooth-edged leaves, and cream-colored berries. In the spring and summer, there is plenty of sap, the urushiol content is high, and the plants are easily bruised. Poison oak is found in the West and Southwest, poison ivy usually grows east of the Rockies, and poison sumac east of the Mississippi River.

6. How do you prevent development of the poison ivy rash?
The best way to avoid the misery of poison ivy is to be on the lookout for the plant whenever you are out-of-doors. If you are going to be in areas where you know poison ivy or oak is likely to grow, wear long pants and long sleeves and whenever possible, gloves and boots.

If you think you've had a brush with poison ivy, poison oak or poison sumac, follow this simple procedure:

Wash all exposed areas with cold running water as soon as you can reach a stream, lake or garden hose. If you can do this within five minutes, the water will neutralize or deactivate the urushiol in the plant's sap and keep it from spreading to other parts of the body. Soap is not necessary, and it may even spread the oil.

When you return home, wash all clothing outside, with a garden hose, before bringing it into the house, where resin could be transferred to rugs or to furniture. Handle the clothing as little as possible until it is soaked. Since urushiol can remain active for months, it's important to wash all camping, sporting, fishing or hunting gear that may also be carrying the resin.

7. What is the treatment for the poison ivy rash?
Over-the-counter preparations like calamine lotion will relieve mild rashes. Soaking in a lukewarm bath with an oatmeal or baking soda solution is often recommended to dry oozing blisters and offer some comfort. Cool showers will help ease the itching. In severe cases, prescription corticosteroid drugs can halt the reaction if taken soon enough. If you know you've been exposed and have developed severe reactions in the past, be sure to consult your dermatologist.

 

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