Poison ivy - oak - sumac
Poison ivy, oak, or sumac poisoning is an allergic reaction that results from touching the sap of these plants. The sap may be on the plant, in the ashes of burned plants, on an animal, or on other objects that came in contact with the plant, such as clothing, garden tools, and sports equipment.
Small amounts of sap can remain under a person's fingernails for several days. It must be purposely removed with thorough cleaning.
Plants in this family are strong and hard to get rid of. They are found in every state of the continental United States. They grow best along cool streams and lakes. They grow especially well in areas that are sunny and hot. They do not grow in Alaska or Hawaii. The also do not survive well above 1,500 m (5,000 feet), in deserts, or in rainforests.
This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.
Sumac - poisonous; Oak - poisonous; Ivy - poisonous
One poisonous ingredient is the chemical urushiol.
The poisonous ingredient can be found in:
- Bruised roots, stems, flowers, leaves, fruit
- Pollen of poison ivy, poison oak, and poison sumac
Note: This list may not be all-inclusive.
Symptoms of exposure may include:
- Burning skin
- Redness of the skin
In addition to the skin, symptoms can affect the eyes and mouth.
The rash may be spread by touching undried sap and moving it around the skin.
Wash the area right away with soap and water. Quickly washing the area can prevent a reaction. However, it most often does not help if done more than 1 hour after touching the plant's sap. Flush the eyes out with water. Take care to clean under the fingernails well to remove traces of toxin.
Carefully wash any contaminated objects or clothing alone in hot soapy water. DO NOT let the items touch any other clothing or materials.
An over-the-counter antihistamine such as Benadryl or a steroid cream may help relieve itching.
Before Calling Emergency
Get the following information:
- Person's age, weight, and condition
- Name of the plant, if known
- Amount swallowed (if swallowed)
Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This hotline number will let you talk to experts in poisoning. They will give you further instructions.
This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does not need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
What to Expect at the Emergency Room
Unless the reaction is severe, the person will probably not need to visit the emergency room. If you are concerned, call your health care provider or poison control.
At the provider's office, the person may receive:
- Antihistamine or steroids by mouth or applied to the skin
- Washing of the skin (irrigation)
Take a sample of the plant with you to the doctor or hospital, if possible.
Life-threatening reactions may occur if the poisonous ingredients are swallowed or are breathed in (which can happen when the plants are burned).
Typical skin rashes most often go away without any long-term problems. A skin infection may develop if the affected areas are not kept clean.
Wear protective clothing whenever possible when travelling through areas where these plants grow. DO NOT touch or eat any unfamiliar plant. Wash your hands after working in the garden or walking in the woods.
Freeman EE, Paul S, Shofner JD, Kimball AB. Plant-induced dermatitis. In: Auerbach PS, Cushing TA, Harris NS, eds. Auerbach's Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 64.
McGovern TW. Dermatoses due to plants. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 17.
Reviewed By: Jesse Borke, MD, FACEP, FAAEM, Attending Physician at FDR Medical Services/Millard Fillmore Suburban Hospital, Buffalo, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.