Poison ivy, oak, and sumac
Poison Ivy, Oak, and Sumac

Poison ivy, oak, and sumac contain an oil called urushiol (you-ROO-shee-all). When this oil touches the skin, many people develop an allergic reaction that causes a rash.
There are three ways to get this rash:

Direct Contact
Touching a plant that contains urushiol.
 
Indirect Contact
Urushiol can stick to almost anything. Touching a pet's fur, gardening tool, or sports equipment that contains urushiol can cause the rash.
 
Airborne Contact
Burning these poisonous plants releases particles of urushiol into the air. These airborne particles can land on the skin.

Recognizing These Poisonous Plants
The saying, “Leaves of three, beware of me,” can help identify poison ivy and oak, but a more accurate saying is “leaflets of three, beware of me.” Each leaf on poison ivy and poison oak has three smaller leaflets. The middle leaflet has a longer stalk than the two on the sides.

Poison sumac can be identified by its row of paired leaflets that contains an additional leaflet at the end. Often the leaves have spots that resemble blotches of black enamel paint. These spots are made up of urushiol, which when exposed to air turn brownish black. Before urushiol is exposed to the air, it is colorless or pale yellow.

Poison ivy grows as vines or low shrubs. Poison oak, with its oak-like leaves, is a shrub. Poison sumac is a tall shrub or small tree. In the spring, poison ivy develops yellow-green flowers. Come early fall, the leaves on some of these poisonous plants turn yellow or red. The plants with berry-like fruit also can change. On the mature plants, the fruit often turns off-white.

Urushiol begins to penetrate the skin in minutes, but the rash usually takes time to appear. Typically, 12 to 72 hours pass before the person experiences severe itching, redness, and swelling, followed by small or large blisters. When the rash develops after a plant touches the skin, streaks or lines often reveal where the plant brushed against the skin. The rash can appear on any part of the body. It might seem to spread, but this is a delayed reaction. The rash does not spread and is not contagious.

Poison Ivy
Poison ivy grows as a vine in the East, Midwest, and South. In the far Northern and Western United States, Canada, and around the Great Lakes, it grows as a shrub. Each leaf has three leaflets.

Poison Oak
In the West, poison oak may grow as a vine but usually is a shrub (pictured). In the East, it grows as a shrub. It has three leaflets to form its leaves.
 
Poison Sumac
Poison sumac grows in standing water in peat bogs in the Northeast and Midwest, and in swampy areas in parts of the Southeast. Each leaf has seven to 13 leaflets.
 
Developing a Rash
The first time urushiol touches the skin, an allergic reaction seldom occurs. With repeated exposure, sensitivity to urushiol develops. Sensitivity varies from person to person. About 85 percent of people develop an allergic reaction when adequately exposed to poison ivy. Only about 15 percent seem to be resistant. Sensitivity to poison ivy tends to decline with age, and people who reach adulthood without developing a sensitivity have a 50 percent chance of developing an allergic reaction to poison ivy, oak, and sumac. Children who have reacted usually find that their sensitivity decreases by young adulthood. People who were once allergic to poison ivy may even lose their sensitivity entirely later in life.
 
Prevention of Poison Ivy
Avoiding contact is best. Dermatologists recommend:

  • Recognizing and avoiding these poisonous plants.
  • Wearing long pants, long sleeves, boots, and gloves when it is not possible to avoid these plants.
  • Applying an over-the-counter skin-barrier product that contains bentoquatum before going outdoors. Bentoquatum helps prevent urushiol from penetrating the skin.
 

Treatment
When an allergic reaction develops, wash the skin well with lukewarm water and soap. Thoroughly launder all clothing and everything else that might be contaminated because urushiol can remain active for a long time.

For mild cases, cool showers and an over-the-counter product that eases itching can be effective. Oatmeal baths and baking-soda mixtures also can sooth the discomfort. When a severe reaction develops contact a dermatologist immediately, or go to an emergency room. Prescription medication might be needed to reduce the swelling and itch.

Palm Beach Gardens Office
600 Village Square Crossing
Palm Beach Gardens, FL 33410
Phone: 561-694-9493

Water’s Edge Dermatology is a medical and cosmetic dermatology practice serving adults and children for diseases of the skin, hair and nails, and offering services including skin cancer exams, skin cancer screening and check ups, skin cancer detection, skin cancer treatment, mohs surgery, Botox, Dysport, fractional CO2 laser skin resurfacing, injectable fillers (Juvederm, Restylane, Radiesse, Perlane, & Sculptra), laser hair removal, IPL photorejuvenation, treatments for sun damage, and laser vein treatment. Products offered to enhance your beauty are Wederm, Obagi, Neocutis, iS clinical, Latisse, Jane Iredale and Colorescience.

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