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Contact dermatitis to a limb prosthesis.

Apra Sood1, James S Taylor, John N Billock

  • 1Department of Dermatology, Cleveland Clinic Foundation, Cleveland, OH, USA.

American Journal of Contact Dermatitis : Official Journal of the American Contact Dermatitis Society
|January 28, 2004
PubMed
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Prosthesis users can develop skin issues from device contact. This case highlights allergic contact dermatitis to a myoelectric prosthesis adhesive in a child with limb difference.

Area of Science:

  • Dermatology
  • Prosthetics
  • Pediatrics

Background:

  • Prosthetic devices can cause skin problems on the residual limb due to prolonged occlusion and humidity.
  • Contact sensitivity to creams, medicaments, and prosthesis materials is a known issue.
  • Allergic contact dermatitis to prosthesis materials is uncommon, especially in congenital amputees.

Observation:

  • A 5-year-old boy with transverse partial hemimelia presented with skin issues.
  • The patient developed allergic contact dermatitis.
  • The dermatitis was linked to an adhesive used in his myoelectric prosthesis.

Findings:

  • This is a rare case of allergic contact dermatitis in a congenital amputee.
  • Myoelectric prostheses require direct skin contact for electrode function, increasing exposure risk.

Related Experiment Videos

  • Patch testing confirmed sensitivity to a specific adhesive component.

    • Implications:

    • Highlights the importance of considering material allergies in pediatric prosthetic users.
    • Suggests a need for careful material selection and monitoring for skin reactions in myoelectric prosthesis wearers.
    • Emphasizes the diagnostic challenge in attributing dermatitis to specific prosthesis components.