ストーマケア製品に対するパッチテストの価値:ストーマ造設患者における評価
Emma Louise Gersling Wolff1, Sebastian Vigand Svendsen1, Mathilde Nødskov Aguirre Houlberg1
1Department of Dermatology and Allergy Centre, Odense University Hospital, University of Southern Denmark, Odense C, Denmark.
Background:
Peristomal skin reactions due to irritant exposure are a common complication of ostomies, whereas contact allergy to stoma care products seems rare. However, knowledge is limited and predominantly based on a few case reports.
Objective:
This study evaluated the prevalence of contact allergy to stoma care products and selected contact allergens. Furthermore, reactions were evaluated in relation to demographic and concomitant dermatitis.
Methods:
A retrospective analysis of patch test results and clinical data was performed among 98 ostomy patients patch-tested with their own stoma care products and selected contact allergens between 1992 and 2024 at the Dept. of Dermatology and Allergy Centre, Odense University Hospital, Denmark.
Results:
Seven of 98 patch-tested patients had contact allergy to stoma care products, primarily to ostomy paste (n = 3). Further, four of 97 patients had a concomitant clinically relevant sensitization to fragrances and preservatives. The prevalence of positive patch test sensitizations did not increase throughout the study period, although approximately fivefold as many patients were patch-tested in 2018-2024 compared to 1992-2005.
Conclusion:
Contact allergy to stoma care products was rare. Despite an increase in the number of patients patch-tested over a 32-year period, no increase in the prevalence of contact allergy was observed.
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関連する概念動画
Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Long-patch Base Excision Repair
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