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Skin disorders in amputees.

C C Lyon1, J Kulkarni, E Zimerson

  • 1Contact Dermatitis Investigation Unit, University of Manchester Section of Dermatology, Hope Hospital, Salford, United Kingdom.

Journal of the American Academy of Dermatology
|February 25, 2000
PubMed
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Skin problems are common for prosthetic limb users. Allergic contact dermatitis affects a third of amputees with stump dermatitis, indicating a need for patch testing.

Area of Science:

  • Dermatology
  • Prosthetics
  • Allergology

Background:

  • Dermatologic issues significantly impair prosthetic limb functionality.
  • The prevalence and triggers of contact dermatitis in amputees remain poorly understood.
  • Clear guidelines for patch testing in this population are lacking.

Purpose of the Study:

  • To document the spectrum of skin conditions in amputees.
  • To investigate the incidence, causes, and characteristics of contact dermatitis.
  • To evaluate the role of patch testing in managing stump dermatitis.

Main Methods:

  • A cross-sectional study involving 210 amputees.
  • Questionnaire-based data collection.
  • Dermatological assessment and patch testing for persistent dermatitis.

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Main Results:

  • 34% of amputees reported skin problems.
  • Friction, pressure, and occlusion commonly cause lesions.
  • Allergic contact dermatitis is present in one-third of stump dermatitis cases.
  • Distinguishing allergic from irritant dermatitis based on presentation is not possible.

Conclusions:

  • Dermatological conditions are prevalent among prosthetic limb users.
  • Allergic contact dermatitis represents a substantial issue.
  • Patch testing is recommended for all amputees presenting with stump dermatitis.