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Contact dermatitis with a highlight on silver: a review.

Ashley Group¹, Alfred Lea

¹The University of Texas Medical Branch, Galveston, Texas;

Wounds : a Compendium of Clinical Research and Practice

|April 23, 2015

Summary

Contact dermatitis, an inflammatory skin reaction, can occur from irritants or allergens. Silver compounds in wound care are rarely implicated, but increased patch testing may reveal more cases.

Area of Science:

Dermatology
Wound Care
Allergology

Background:

Contact dermatitis involves skin inflammation from irritants or allergens.
Patients with wounds have increased risk due to impaired skin barriers and topical products.
Silver compounds are common in wound care for antimicrobial properties.

Purpose of the Study:

To review literature on contact dermatitis caused by silver in wound care.
To assess the frequency and recognition of silver as a contact allergen.

Main Methods:

Literature review of reported cases of contact dermatitis due to silver.
Analysis of the role of silver compounds in wound care products.

Main Results:

Only one confirmed case of contact dermatitis from silver-containing wound products is documented.

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Silver is infrequently identified as a cause of contact dermatitis, potentially due to underdiagnosis.

Widespread use of silver in wound care suggests a low incidence of allergic reactions.

Conclusions:

Silver allergy causing contact dermatitis is rare but possible.
Underdiagnosis may occur as silver is not a commonly suspected allergen.
Routine patch testing for silver allergy could improve case recognition in at-risk patients.