Adverse cutaneous reaction to diabetic glucose sensors and insulin pumps: Irritant contact dermatitis or allergic contact dermatitis?

2020 ◽  
Vol 83 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Anne Herman ◽  
Laurence Montjoye ◽  
Marie Baeck
Keyword(s):  
Contact Dermatitis ◽  
Allergic Contact Dermatitis ◽  
Glucose Sensors ◽  
Cutaneous Reaction ◽  
Irritant Contact Dermatitis ◽  
Insulin Pumps ◽  
Allergic Contact

Allergic contact versus irritant contact dermatitis in patients with hard-to-heal leg ulcer: clinical and diagnostic approach

2021 ◽  
Vol 30 (5) ◽  
pp. 394-398
Author(s):  
Paola Monari ◽  
Marta Fusano ◽  
Ruggero Moro ◽  
Ilaria Baiguini ◽  
PierGiacomo Calzavara-Pinton ◽  
...  
Keyword(s):  
Wound Healing ◽  
Contact Dermatitis ◽  
Allergic Contact Dermatitis ◽  
Patch Test ◽  
Wound Care ◽  
Care Service ◽  
Leg Ulcers ◽  
Irritant Contact Dermatitis ◽  
Allergic Contact ◽  
Surrounding Skin

Background: Dermatitis of surrounding skin may complicate hard-to-heal leg ulcers, delaying wound healing. The coexistence of hard-to-heal leg ulcers and irritant or allergic contact dermatitis may create difficulties for both diagnostic and therapeutic management. Objective: The aim of our study was to evaluate the incidence of dermatitis occurring in the surrounding skin in a population affected by hard-to-heal leg ulcers during treatment, and to differentiate between allergic contact dermatitis (ACD) and irritant contact dermatitis (ICD) with the use of a patch test. Furthermore, we investigated which medications were most probably related to these conditions. Method: We conducted an observational study from 21 February to 21 July 2017, enlisting all patients affected by hard-to-heal leg ulcers who attended the Wound Care Service of the Dermatologic Department of ASST, Spedali Civili, Brescia, Italy. Results: We enrolled 95 patients; 81 patients did not develop dermatitis, while 14 patients developed dermatitis of the surrounding skin. These patients underwent a patch test which gave a positive result in seven patients, permitting the diagnosis of ACD. Conclusion: Our study confirmed the incidence of dermatitis of the surrounding skin reported in the literature but reassessed the incidence of ACD as opposed to ICD.

scholarly journals Allergic phytodermatitis due to Toxicodendron succedaneum in sub Himalayan region of North India: a clinical study

2017 ◽  
Vol 3 (4) ◽  
pp. 465
Author(s):  
Meena Chauhan ◽  
Renu Rattan ◽  
Geeta Ram Tegta ◽  
Chander Shekhar ◽  
Bhupender Dutt ◽  
...  
Keyword(s):  
Clinical Study ◽  
Contact Dermatitis ◽  
Allergic Contact Dermatitis ◽  
Erythema Multiforme ◽  
Clinical Presentation ◽  
North India ◽  
Irritant Contact Dermatitis ◽  
Clinical Presentations ◽  
Allergic Contact ◽  
Variable Clinical Presentation

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Phytodermatitis refers to inflammation of the skin caused by a plant. The clinical patterns of dermatitis due to plants can present as allergic phytodermatitis, photophytodermatitis, irritant contact dermatitis or in the form of mechanical injury. The commonest plant causing allergic contact dermatitis in India is <em>Parthenium hysterophorus</em>, followed by other plants. Phytodermatitis due to <em>Toxicodendron succedaneum</em> is not uncommon in sub Himalayan range of North India and it has variable clinical presentation.</span>The aim of the study was <span lang="EN-IN">to study and evaluate the patients of allergic contact dermatitis due to <em>T. succedaneum</em>.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">All patients having allergic contact dermatitis due to <em>T. succedaneum</em> from August 2015 to July 2016 were enrolled for the study</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Our study included 13 (76.4%) males and 4 (23.5%) females with a mean age of 32 years. 76.4% patients developed lesions within 24-48 hours after contact with plant, 17.6% after 48 hours and 5.8% developed in less than 24 hours. Most of the (88.2%) patients presented with disseminated lesions and 11.7% had localised lesions involving only hands and forearms. Urticaria (41.1% ) was the commonest finding followed by papuloplaque lesions (in 29.4% patients), further followed by erythema multiforme like lesions (in 11.7% patients) and maculopapular, vesiculobullous lesions and angiodema (in 5.8% of each patients). Patch test was positive in 16 (94.1%) cases. Majority of patients required systemic steroids to settle the dermatitis. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Allergic contact dermatitis due to <em>T. succedaneum</em> is very common in this region. Although it presents with widespread clinical presentations but adequate literature was not found on this plant. This plant further requires more study to know the dermatitis caused by it.</span></p>

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