Related Experiment Video
Updated: Mar 22, 2026

A Suction Blister Protocol to Study Human T-cell Recall Responses In Vivo
Published on: August 11, 2018
Persistent Skin Reactions and Aluminium Hypersensitivity Induced by Childhood Vaccines
Elaha Salik1, Ida Løvik, Klaus E Andersen
1Department of Dermatology and Allergy Centre, Odense University Hospital, DK-5000 Odense C, Denmark.
Insights
Persistent skin reactions, including itchy nodules, can occur after childhood vaccinations. A study found 92% of children with these reactions showed aluminum hypersensitivity, impacting future vaccination decisions.
Area of Science:
- Pediatric Dermatology
- Immunology
- Vaccine Safety
Background:
- Growing recognition of persistent skin reactions post-vaccination.
- Childhood vaccinations are crucial but can rarely cause adverse skin events.
Purpose of the Study:
- To investigate long-lasting skin reactions and aluminum hypersensitivity in children following vaccinations.
- To understand the diagnostic and treatment challenges associated with these reactions.
Main Methods:
- Retrospective analysis of medical records and parental questionnaires.
- Patch testing with aluminum chloride hexahydrate in 42 children.
- Review of diagnostic procedures and treatment outcomes.
Main Results:
- Identified 47 children with persistent skin reactions from 2003-2013.
- 92% (39/42) of tested children exhibited positive reactions to aluminum.
- Reactions typically presented as persistent, itchy subcutaneous nodules.
Conclusions:
- Aluminum hypersensitivity is a likely cause of persistent skin reactions post-vaccination.
- Topical corticosteroids can treat these reactions, but parental vaccine hesitancy is a concern.
- Further research into vaccine-associated skin reactions and aluminum's role is warranted.
Abstract:
There is increasing awareness of reactions to vaccination that include persistent skin reactions. We present here a retrospective investigation of long-lasting skin reactions and aluminium hypersensitivity in children, based on medical records and questionnaires sent to the parents. In the 10-year period 2003 to 2013 we identified 47 children with persistent skin reactions caused by childhood vaccinations. Most patients had a typical presentation of persisting pruritic subcutaneous nodules. Five children had a complex diagnostic process involving paediatricians, orthopaedics and plastic surgeons. Two patients had skin biopsies performed from their skin lesions, and 2 patients had the nodules surgically removed. Forty-two children had a patch-test performed with 2% aluminium chloride hexahydrate in petrolatum and 39 of them (92%) had a positive reaction. The persistent skin reactions were treated with potent topical corticosteroids and disappeared slowly. Although we advised families to continue vaccination of their children, one-third of parents omitted or postponed further vaccinations.
Related Concept Videos
Drug Toxicity: Allergic Reactions
Hypersensitivities
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
Skin Diseases and Disorders
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Hypersensitivity Reactions: Immune-Complex Reactions
Allergic Drug Reactions
Allergic Reactions: Anaphylaxis

