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Contact dermatitis in children caused by diabetes devices
Catarina Alves da Silva1, Anne Bregnhøj1, Martin Mowitz2
1Department of Dermatology and Venereology, Aarhus University Hospital, Aarhus, Denmark.
Localized contact dermatitis in children using insulin pumps and glucose monitors is often caused by isobornyl acrylate (IBOA) and benzoyl peroxide (BP). Further investigation into device materials is crucial for identifying unknown allergens.
Area of Science:
- Dermatology
- Allergology
- Pediatrics
Background:
- Insulin pumps and glucose monitoring devices improve diabetes management but are linked to adverse skin reactions.
- Cutaneous reactions associated with these diabetes devices are increasingly reported.
Purpose of the Study:
- Identify the specific allergens causing localized contact dermatitis in pediatric patients using insulin pumps and glucose monitoring devices.
Main Methods:
- Retrospective analysis of 15 pediatric patients undergoing patch testing for skin reactions.
- Investigated reactions to components of insulin pumps and glucose monitoring devices.
Main Results:
- 10 out of 15 patients showed positive patch test reactions to device materials.
- Isobornyl acrylate (IBOA) was identified as an allergen in 7 patients, and benzoyl peroxide (BP) in 5.
- Reactions to adhesive remover wipes and EMLA plaster were also noted.
Conclusions:
- Isobornyl acrylate (IBOA) and benzoyl peroxide (BP) are significant allergens in pediatric patients using diabetes devices.
- The study highlights the need for complete chemical composition disclosure of medical devices to identify unknown allergens.
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