Wedding Ring Dermatitis
Wedding Ring Dermatitis
Save the Ring, and Your Skin
If your wedding band is making your skin sore and scratchy, that doesn't mean that you're allergic to your marriage. When you wear a ring every day around the clock, the skin underneath stays moist and doesn't have a chance to air out, which makes it more susceptible to irritations and allergies (contact dermatitis).
"Most people wear their rings tight enough to stay put, which causes pressure against the skin and sets it up for problems," explains Kristin Leiferman, M.D., professor of dermatology at the Mayo Medical School in Rochester, Minnesota.
When To See A Doctor
If you have a chronic case of wedding ring dermatitis that seems to be lasting as long as your marriage (or longer), see a doctor--preferably, a dermatologist, advises Kristin Leiferman, M.D., professor of dermatology at the Mayo Medical School in Rochester, Minnesota. She can prescribe medication that can help. But more important, she can test your skin to determine what's causing the problem, and that may include testing your ring to find out if you are truly allergic to your ring.
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The result is a surprisingly common condition that dermatologists refer to as wedding ring dermatitis, in which the skin under the ring gets temporarily red, sore and itchy.
Most likely, you've developed a skin irritation to soap or debris that gets trapped under your ring and ground into your skin, especially if you wear a wide band, says Dr. Leiferman.
The problem is common among women who have their hands in water a lot, notes Amy Newburger, M.D., assistant clinical professor of dermatology at Columbia University College of Physicians and Surgeons in New York City and a dermatologist in Scarsdale, New York. "Liquid soaps are particularly irritating if not removed from the skin," explains Leiferman.
It's rare, but women doctors say that you could be allergic to the jewelry itself, even if it's an expensive gold ring.
SALVAGE EFFORTS
Before you relegate your ring to your jewelry case, women doctors suggest that you try these tactics.
Soak your skin. Take your ring or rings off and carefully set them aside so that you don't lose them down the drain. Then thoroughly rinse the skin under the rings, paying special attention to the areas between your fingers, where debris and soap can get trapped, says Dr. Leiferman. "Generally, a good rinsing with water is all that you need."
Rinse your ring. Put the stopper in the drain, and then rinse off the ring, making sure to clean the smooth underside that comes in contact with your skin. Wash away any residues of soap or debris, says Dr. Leiferman.
"If you soak your rings with jewelry cleaner, be especially careful to rinse the rings well with water," says Dr. Leiferman. Ring cleaners typically contain ammonia, a chemical that can dry and irritate skin, she says.
Give your ring finger a rest. Take your ring off at night to allow your skin a chance to air out and heal, suggests Dr. Leiferman.
"If you have severe contact dermatitis, you may even have to stop wearing your ring for a week or two until the irritation resolves," says Mary Ruth Buchness, M.D., chief of dermatology at St. Vincent's Hospital and Medical Center in New York City.
Heal with hydrocortisone. Rub hydrocortisone cream into your skin for a few nights while your ring is off, to reduce inflammation and redness, suggests Dr. Buchness.
Moisturize your hands. Keep the skin of your hands--particularly the area under the ring--supple by applying a bland, fragrance-free moisturizer several times a day, especially after washing. Not only will the moisturizer create a protective barrier against irritating debris, but it will also improve the skin condition. "If your skin is in good shape, it's not going to break down as easily, and it will heal faster if it does become irritated," explains Dr. Leiferman.
Try anti-itch medicines. To soothe irritated skin, apply over-the-counter anti-itch medications that contain the ingredients camphor or menthol (or both), suggests Dr. Buchness. "These ingredients are topical anesthetics, which relieve itch and pain."
Wear rubber gloves. To avoid future outbreaks, wear gloves when washing dishes, handling detergents or doing housework, to protect your hands from moisture and irritation, suggests Patricia Farris Walters, M.D., clinical assistant professor of dermatology at Tulane University School of Medicine in New Orleans and a spokesperson for the American Academy of Dermatology.